IndividualActive
Sandra Moon
NPI 1689059016 · Pediatric Nurse Practitioner · Los Angeles, CA
Provider details
- NPI number
- 1689059016
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 95001140 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3810 Wilshire Blvd Apt 2211
#2211
Los Angeles, CA 90010-3230
Phone: (310) 729-7785
Street-level locationGet directions
Mailing address
3810 Wilshire Blvd Apt 2211
Los Angeles, CA 90010-3230
Registry dates
- Enumerated
- 2015-07-27
- Last updated
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.