Tina Lee Moon, PA-C
Tina Lee Moon, PA-C is a Physician Assistant in San Dimas, California. Qualified in 1999, 27 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 27
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1334 W Covina Blvd Ste 102San Dimas, CA 91773-3211
Phone: (909) 599-8677
Fax: (909) 592-0999
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 15164 (CA) |
|---|
Record details
| NPI number | 1104946383 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | July 21, 2026 |
| Certification date | July 21, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in San Dimas
-
Samantha Magdalik
1704 Hampshire Ct, San Dimas, CA 91773-3712 · (626) 241-4614
-
National Mental Health Physician Assistant Corporation
720 Knollwood Ln, San Dimas, CA 91773 · (628) 215-1120
-
Amanda Marie Richardson
306 N Basilio Ave, San Dimas, CA 91773-2707 · (909) 754-0280