Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881093300 Individual Practitioner Female Practitioner

Dr. Stacey Hyun Joo Moon , DDS

Dentist • La Jolla, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Moon, DDS is a registered healthcare professional specializing in Dentist in La Jolla, CA. Practice services are available at 9500 GILMAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9500 Gilman Dr

La Jolla, CA 920935004

Telephone 8588226448
Associated Practice Facility / Clinic
🏢 Ucsd Student Health Service Facility NPI 1366643629

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in La Jolla, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
49 Specialists

Practicing in La Jolla, CA (15331 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

CMS Verified: 2021-02-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 63692

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lee Wang , MD

Radiology - Diagnostic Radiology

NPI 1003119975

Doctor of Medicine (M.D.)

Bonnie Omeara , NP

Nurse Practitioner - Adult Health

NPI 1013103639

Nurse Practitioner

Dr. Elka Rubin , MD

Radiology - Diagnostic Radiology

NPI 1013701895

Doctor of Medicine (M.D.)

Dr. Robert Parmer , MD

Internal Medicine

NPI 1013932318

Doctor of Medicine (M.D.)

Angela Acfalle , NP CNS

Nurse Practitioner - Adult Health

NPI 1013983857

NPCNS

Britnie Priest , MAT, ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1023468477

MAT, Certified Athletic Trainer, Licensed Athletic Trainer

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address February 08, 2021

Registered at 3141 STEVENS CREEK BLVD # 117, SAN JOSE, CA 951171141

NPI Profile Active August 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2014

Registered at 9500 GILMAN DR, LA JOLLA, CA 920935004 (Tel: 8588226448)

📍
Updated Business Mailing Address August 20, 2014

Registered at 6663 MONTEZUMA RD APT 28, SAN DIEGO, CA 921152837 (Tel: 2247660317)

👤
Provider Name / Credentials Updated August 20, 2014

Recorded as STACEY MOON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2014

Dentist (License #63692 in CA)

🟢
Initial NPI Registration & Enumeration August 20, 2014

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: 1881093300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2014
Last Update: February 08, 2021
Sole Proprietor: Yes

Mailing Address

3141 Stevens Creek Blvd # 117

San Jose, CA 951171141

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.