David R. Gwynn, M.D

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G86237 Issued in CA

Practice address

22691 Plaza Drive
Suite 250
Mission Viejo, CA 92691

Phone

(949) 364-0225

Fax

(949) 364-9014

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Georgetown University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luis a Chanes M D IncGroup PAC ID 9739118829, 6 clinicians

Ramin Tayani MD IncGroup PAC ID 3274541826, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.15 of 100Reported as individual

Quality

0

Improvement activities

40

Cost

73.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: david.gwynn.p26@direct.monarchhealthcare.nextgenshare.com
• Direct secure messaging: david.gwynn.p2@direct.tayani.nextgenshare.com
• Direct secure messaging: david.gwynn.p1@direct.tayani.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luis a Chanes M D Inc

  dba Eye Associates of Orange County

  • Specialist
  • Santa Ana, CA
  • NPI 1568481679
  Medicare reassignment Care Compare group NPD
• Ramin Tayani MD Inc

  dba Tayani Eye Institute

  • Ophthalmology Physician
  • San Clemente, CA
  • NPI 1841465986
  Medicare reassignment Care Compare group NPD
• James McCaffery MD a Professional Corp

  dba Glendale Eye Medical Group

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1710962865
  NPD (past)
• Jan S Lukac MD Inc

  • Ophthalmology Physician
  • Brea, CA
  • NPI 1619964038
  NPD (past)
• Pasadena Hospital Association, LTD.

  dba Huntington Hospital

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)
• Vision Center LP

  • Primary Care Clinic/Center
  • Santa Ana, CA
  • NPI 1942503933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1003837766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22691 PLAZA DRIVE",
            "address_2": "SUITE #250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-364-0225",
            "fax_number": "949-364-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22691 PLAZA DRIVE",
            "address_2": "SUITE 250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-364-0225",
            "fax_number": "949-364-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYNN",
        "first_name": "DAVID",
        "middle_name": "R.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G86237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G862370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres Gutierrez
• Melissa Jean Gutierrez
• Huan Guu, M.D.
• Guy W Mendivil DDS Inc
• Georgina Guy, PSY.D
• Saaman Habibi
• Shir Hadani, RD
• Haeri Professional Dental Corporation (Harmony Dentistry)
• Ashkan Haeri, DMD
• Laqeishia Sharrice Hagans, EDD

• Ophthalmology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.