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CALLEN DALE MOON
NPI 1306707435
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since November 19, 2025
4610 X ST, SACRAMENTO, CA 95817(559) 760-1874 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Callen Dale Moon NPPES

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

CALLEN DALE MOON (NPI 1306707435) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1306707435
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALLEN DALE MOON
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200
Phone(559) 760-1874
Sole ProprietorNo
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1306707435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
4610 X ST, Sacramento, CA 95817
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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.

LESLIE OLIVARES VALENCIA
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (747) 253-6052
HECTOR LEONARDO SANCHEZ PEREZ MPH
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (760) 899-0277
TIFFANY POLAR
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (562) 230-9720
ALICIA CUEVAS
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (831) 262-7838
ALFREDO LOPEZ AGUIRRE
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (209) 481-1068
MR. MATTHEW JOSEPH LOPEZ MED STUDENT
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 762-7911
BINUI JARVIO
Specialist
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (650) 867-8073
MR. QUINCY CARL JONES
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 816-2527

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 Callen Moon's NPI number?

The NPI number for Callen Moon is 1306707435. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Callen Moon located?

Callen Moon practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (559) 760-1874.

What is Callen Moon's specialty?

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

When was this NPI record last updated?

The NPPES record for Callen Moon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.