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JUDY MOON M.D.
NPI 1295029775
Pediatrics - Pediatric Nephrology in Loma Linda, CA

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON STREET, LLUMC, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354(415) 517-5273 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judy Moon M.d. NPPES

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

JUDY MOON M.D. (NPI 1295029775) is an individual pediatric nephrology provider in Loma Linda, California, licensed in California (A126422) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2011).

NPPES Registry Identity

NPI1295029775
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameJUDY MOONCredential: M.D.
Location Address11234 ANDERSON STREET, LLUMC, HOUSE STAFF OFFICE CP 21005Loma Linda, CA 92354
Mailing Address533 Parnassus Ave, Pediatric Nephrology, Room U585San Francisco, CA 94143-2208 · (415) 476-2423
Phone(415) 517-5273
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2011
Enumeration DateJune 2, 2011
Last NPPES UpdateJuly 30, 2018
✔ NPI 1295029775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in CA · A126422
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
11234 ANDERSON STREET, Loma Linda, CA 92354
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Judy Moon M.d. 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 ID5991083347
PECOS Enrollment IDI20220801000540
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.

KAREN RACHEL STUDER M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
11234 ANDERSON STREET, GRADUATE MEDICAL EDUCATION OFFICE CP 21005
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
ABHISHEK JAY DHARAN MD
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
RACHEL ELIZABETH GELFOND DAVIDGE D.O.
Pediatrics
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH, GENERAL PEDIATRICS
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
DR. KRISTINA KYLE M.D.
Emergency Medicine
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH - EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085
DOUGLAS WANG
Internal Medicine
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
FARAH SHAKER ABED ABUAZZAM
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4911
DR. JOSHUA STUART MACLAUGHLAN MD
Radiology (Diagnostic Radiology)
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-7814
YURI JIN
Emergency Medicine
11234 ANDERSON STREET, EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085

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 Judy Moon's NPI number?

The NPI number for Judy Moon is 1295029775. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Judy Moon located?

Judy Moon practices at 11234 Anderson Street Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354. The listed phone number is (415) 517-5273.

What is Judy Moon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Judy Moon enrolled in Medicare?

Yes. Judy 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.

What insurance does Judy Moon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Judy Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judy Moon was last updated on July 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.