Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Robert Moon, MD

Individual provider Diagnostic Radiology Physician · NPI 1073573093

David Robert Moon, MD is a Diagnostic Radiology in Palo Alto, California. Graduated from Icahn School of Medicine at Mount Sinai in 1989, 37 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California, Hawaii and Texas.

Years since qualifying
37
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
CA, HI, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

409 Fulton St
Palo Alto, CA 94301-1326
Phone: (952) 595-1100
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Punchbowl St, Honolulu, HI 96813-2402 — (808) 691-1000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G69394 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence L3024 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 11711 (HI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD11711 (HI)

Record details

NPI number1073573093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2006
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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