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

Dr. Jong Chun Moon, MD

Individual provider General Practice Physician · NPI 1760545925

Dr. Jong Chun Moon, MD is a General Practice in Shafter, California. Qualified in 1968, 58 years ago. Practices with Vanguard Medical Corporation, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
58
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

406 James St
Shafter, CA 93263-2035
Phone: (661) 746-5788
Fax: (661) 746-5273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 00A356070 (CA)

Record details

NPI number1760545925
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address406 James St., Shafter, CA 93263

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Group practice Vanguard Medical Corporation — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount