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THERESA KYUNGHOI-KIM MOON MD
NPI 1477581270
Psychiatry & Neurology - Forensic Psychiatry in Corona, CA

Active since June 29, 2006PECOS Enrolled
2813 S MAIN ST, CORONA, CA 92882(951) 737-2962(951) 737-2783 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Kyunghoi-kim Moon Md NPPES

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

THERESA KYUNGHOI-KIM MOON MD (NPI 1477581270) is an individual forensic psychiatry provider in Corona, California, licensed in California (A43482) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1477581270
Entity TypeIndividualFemale
Primary Taxonomy2084F0202X
Provider Legal NameTHERESA KYUNGHOI-KIM MOONCredential: MD
Location Address2813 S MAIN STCorona, CA 92882-5942
Mailing Address18692 Patrician DrVilla Park, CA 92861-4211 · (714) 633-0184 · Fax (714) 543-4488
Phone(951) 737-2962
Fax(951) 737-2783
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1477581270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
License✔ Licensed in CA · A43482
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
2813 S MAIN ST, Corona, CA 92882
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Secondary Practice Location 1

Location 11633 E 4th St, Ste. 380Santa Ana, CA 92701-5163 · Phone (714) 390-2673 · Fax (714) 543-4488

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Kyunghoi-kim Moon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

RAGHDA SAKO
Marriage & Family Therapist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 273-0608
CHANEL BRIANA FAUWTS-WATKINS
Peer Specialist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 358-6572
COUNTY OF RIVERSIDE
Clinic/Center (Federally Qualified Health Center (FQHC))
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 272-5445
RUHS-CORONA PHARMACY
Pharmacy (Community/Retail Pharmacy)
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 955-0111
LARISSA MARY BARTON ANDERSON
Case Manager/Care Coordinator
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962
TOWNSEND MUNOZ-MOCTEZUMA
Peer Specialist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962
JONATHAN MARSHALL CASTRO
Marriage & Family Therapist
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962
RUBEN ROBERT CORTZ
Counselor (Addiction (Substance Use Disorder))
2813 S MAIN ST
CORONA, CA 92882
Riverside County (951) 737-2962

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 Theresa Moon's NPI number?

The NPI number for Theresa Moon is 1477581270. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Theresa Moon located?

Theresa Moon practices at 2813 S Main St, Corona, CA 92882. The listed phone number is (951) 737-2962.

What is Theresa Moon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Is Theresa Moon enrolled in Medicare?

Yes. Theresa Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Moon was last updated on April 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.