JIN A MOON MD
NPI 1083240931
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(323) 783-4516 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, Mar 22, 2020 (2 updates tracked since 2020).

About Jin A Moon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIN A MOON MD (NPI 1083240931) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2020).

NPPES Registry Identity

NPI1083240931
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJIN A MOONCredential: MD
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021 · (323) 783-4516
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1083240931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027

Other Names 1

Other Name (5)Jina Moon Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jin A Moon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476937822
PECOS Enrollment IDI20230125002031
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jin A Moon's NPI number?

The NPI number for Jin A Moon is 1083240931. It was assigned to this individual provider in the NPPES registry on March 22, 2020. The provider is also known as Jina Moon MD.

Where is Jin A Moon located?

Jin A Moon practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (323) 783-4516.

What is Jin A Moon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jin A Moon enrolled in Medicare?

Yes. Jin A Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jin A Moon was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.