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

Dr. Michael Moon, MD

Individual provider Interventional Pain Medicine Physician · NPI 1619014230

Dr. Michael Moon, MD is an Interventional Pain Management in San Diego, California. Graduated from Loma Linda University School of Medicine in 1995, 31 years ago. Practices with Omar Osman Practice, LLC, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
31
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2007
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

5348 Carroll Canyon Rd Ste 101
San Diego, CA 92121-1733
Phone: (858) 202-1546
Fax: (858) 202-1548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence A61865 (CA)

Record details

NPI number1619014230
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESSeptember 24, 2012

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Omar Osman Practice, Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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