SHAFTER RURAL HEALTH CARE
NPI 1457578403
Clinic/Center - Rural Health in Shafter, CA

Active since April 19, 2007
406 JAMES ST, SHAFTER, CA 93263(661) 746-5788(661) 746-5273 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shafter Rural Health Care NPPES

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

SHAFTER RURAL HEALTH CARE (NPI 1457578403) is a healthcare organization registered as a rural health in Shafter, California and active in the NPI registry since April 2007. The organization lists Jong Chun Moon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457578403
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJONG C MOON MD INC
Location Address406 JAMES STShafter, CA 93263-2035
Mailing Address406 James StShafter, CA 93263-2035 · (661) 746-5788 · Fax (661) 746-5273
Fax(661) 746-5273
Organization SubpartNo
Authorized OfficialJong Chun MoonAdministrator · (661) 746-5788
Enumeration DateApril 19, 2007
Last NPPES UpdateJune 25, 2012
NPI 1457578403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in CA · A356070
406 JAMES ST, Shafter, CA 93263

Other Names 1

Other NameShafter Rural Health Care

Other Identifiers 4

Medicare PIN553818ACA
Medicare UPINOOA356070CA
MedicaidRHM53818FCA
Medicare OSCAR/certification553818ACA

Other Providers at the Same Location NPPES 3

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

Physician Assistant
406 JAMES ST
SHAFTER, CA 93263
Clinic/Center (Rural Health)
406 JAMES ST
SHAFTER, CA 93263
General Practice
406 JAMES ST
SHAFTER, CA 93263

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 Jong C Moon MD Inc's NPI number?

The NPI number for Jong C Moon MD Inc is 1457578403. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is also known as Shafter Rural Health Care.

Where is Jong C Moon MD Inc located?

Jong C Moon MD Inc is located at 406 James St, Shafter, CA 93263. The listed phone number is (661) 746-5788.

What is Jong C Moon MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Jong C Moon MD Inc was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.