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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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Judy Moon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
317 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1588721500 (California)
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000
Ucsf Health Medical Foundation
383 mi
Multi-Specialty
747 52ND ST
Oakland, CA 94609
  • Reassigned Medicare billing, California enrollment
  • 118 clinicians in this Medicare group
NPI 1922124866 (415) 476-4424
University Hospitals Medical Group Inc
2,003 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
SHELDON VOGT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH-SURGERY
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822

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.

Which organizations bill Medicare for Judy Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Moon reassigns Medicare benefits to 3 organizations: County Of Santa Clara (Gilroy, CA), Ucsf Health Medical Foundation (Oakland, CA) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.