BENJAMIN MOON
NPI 1538919352
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Benjamin Moon's NPI number?

The NPI number for Benjamin Moon is 1538919352. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Benjamin Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Moon was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2024PECOS Enrolled

505 PARNASSUS AVE # M1480, SAN FRANCISCO, CA 94143(415) 476-1528 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benjamin Moon NPPES

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

BENJAMIN MOON (NPI 1538919352) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538919352

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBENJAMIN MOON

Location Address505 PARNASSUS AVE # M1480San Francisco, CA 94143-2204

Mailing Address505 Parnassus Ave # M1480San Francisco, CA 94143-2204

Phone(415) 476-1528

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1538919352 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.

505 PARNASSUS AVE # M1480, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Moon 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.

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