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Deactivated NPI 1255995932 Deactivated / Inactive NPI Female Practitioner

Tammy D Moon

Specialist/Technologist • Carmichael, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tammy Moon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2019
NPI Deactivation Date January 21, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Tammy Moon was a registered Specialist/Technologist practicing in Carmichael, CA. Throughout an active medical career spanning 3 years, Tammy Moon provided care at the practice location at 4218 EMPIRE WAY until profile deactivation on 2022-01-21.

Practice Location & Contact Primary Location

Practice Address

4218 Empire Way

Carmichael, CA 956081747

Telephone 9164366346

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in Carmichael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Carmichael, CA (25 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 235500000X

State License CA 27143

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ok Kim , CCP

Perfusionist

NPI 1619355492

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 21, 2022

Record deactivated on January 21, 2022

NPI Profile Active April 27, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2019

Registered at 4218 EMPIRE WAY, CARMICHAEL, CA 956081747 (Tel: 9164366346)

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Updated Business Mailing Address April 27, 2019

Registered at 4218 EMPIRE WAY, CARMICHAEL, CA 956081747

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Provider Name / Credentials Updated April 27, 2019

Recorded as TAMMY MOON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2019

Specialist/Technologist (License #27143 in CA)

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Initial NPI Registration & Enumeration April 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255995932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2019
Last Update: April 27, 2019
Deactivation Date: January 21, 2022

Mailing Address

4218 Empire Way

Carmichael, CA 956081747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.