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DR. ALEXANDRA GROSSMAN MOON MD, MSW
NPI 1629590971
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since July 07, 2017
9909 MIRA MESA BLVD STE 200, SAN DIEGO, CA 92131(858) 657-7750 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Apr 3, 2024, Jul 7, 2017 (3 updates tracked since 2017).

About Dr. Alexandra Grossman Moon Md, Msw NPPES

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

DR. ALEXANDRA GROSSMAN MOON MD, MSW (NPI 1629590971) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1629590971
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALEXANDRA GROSSMAN MOONCredential: MD, MSW
Location Address9909 MIRA MESA BLVD STE 200San Diego, CA 92131-1061
Mailing Address9909 Mira Mesa Blvd Ste 200San Diego, CA 92131-1061 · (858) 657-7750
Phone(858) 657-7750
Sole ProprietorNo
Enumeration DateJuly 7, 2017
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1629590971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSocial WorkerTaxonomy 104100000X
9909 MIRA MESA BLVD STE 200, San Diego, CA 92131
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Other Names 1

Former Name (1)Alexandra Grossman Msw

Other Providers at the Same Location NPPES 13

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

ANGELA PHAM MD
Student in an Organized Health Care Education/Training Program
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273
DR. ALLISON MICHELLE FLAIM DO
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273
JONATHAN HIEU TRINH MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (256) 975-7005
DR. SARAH MERRILL MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 657-7750
AMELIA BAHAMONDE MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 657-7750
ELISABETH ANNE PLOTNER MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 675-7750
COLIN PATRICK BOEHNLEIN MD
Student in an Organized Health Care Education/Training Program
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273
KEVIN ZHEN MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273

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 Alexandra Grossman Moon's NPI number?

The NPI number for Alexandra Grossman Moon is 1629590971. It was assigned to this individual provider in the NPPES registry on July 7, 2017. The provider is also known as Alexandra Grossman Msw.

Where is Alexandra Grossman Moon located?

Alexandra Grossman Moon practices at 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131. The listed phone number is (858) 657-7750.

What is Alexandra Grossman 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 Alexandra Grossman Moon was last updated on April 30, 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.