Sung Bum Moon, LAC
Acupuncturist · Campbell
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 5
- 3 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plans that list them
5 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Sung Bum Moon’s office at (510) 467-2922 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
5 of 5 plans
| Aetna Medicare Enhanced (HMO-POS) | Aetna Medicare | Listed | Sep 8, 2026 |
| Aetna Medicare Enhanced Extra (HMO-POS) | Aetna Medicare | Listed | Sep 8, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence C12987 · Cancelled
Licence status: Cancelled · since 1950 · University of Alberta Faculty of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$15,458 in 2024
Medicaid paid $15,458 for 218 billed services this clinician did in 2024, up to 46 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Acupuncture, initial 15 minutes | 218 | $15,458 |
| 2024 | 218 | 1 | 46 | $15,458 |
| 2023 | 43 | 1 | 15 | $205 |
See the largest Medicaid services in earlier years
2023
| Acupuncture, initial 15 minutes | 43 | $205 |
Professional record
- NPI
- 1225361843
- Licence
- CA 12987California C12987: Cancelled
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 171100000X (171100000X)
- Mailing address
- 5530 Cooney Pl, San Jose, CA, 95123
- NPI first listed
- 2009-09-14
- NPI last updated
- 2016-12-08
This is when the NPI record was last certified, not a medical board exam.