David Sungho Ahn, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A61137 Issued in CA

Practice address

19333 Bear Valley Rd Ste 201
Apple Valley, CA 92308-5150

Phone

(760) 956-8700

Fax

(760) 240-4445

NPI assigned

Jan 4, 2007

Last updated

Mar 2, 2018By the provider in NPPES

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

Other names 1

• Dr. Sungho David Ahn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: david.ahn@11977949577220.direct.elationemr.com

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

• Be Well Centers of Southern California, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Huntington Beach, CA
  • NPI 1093285918
  NPD Authorized official
• Infinity Medical Group, Inc.

  dba Infinity Pediatrics

  • Primary Care Clinic/Center
  • Apple Valley, CA
  • NPI 1962518407

  Pediatrics

  NPD Authorized official
• A.S. Kim DDS, Inc.

  dba Village Hillcrest Dental

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1730639188
  NPD (past)
• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1083761084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 LA CRESTA WAY",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022575",
            "telephone_number": "760-987-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD STE 201",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085150",
            "telephone_number": "760-956-8700",
            "fax_number": "760-240-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "DAVID",
        "middle_name": "SUNGHO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A61137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A611370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNGHO",
            "last_name": "AHN",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bikramjit S Ahluwalia, MD
• Mohinder Paul Ahluwalia, MD
• Trevinder Ahluwalia, MD
• Mohammad Reza Ahmadinia, MD
• Kabir Ahmed, M.D.
• Maria Ysabelle Eviota Aizon, PT
• Melanie Rose Brown Ajanwachuku
• Vincent Ede Ajanwachuku, M.D.
• Clement-John Ajayi
• Felicia Ajayi

• Pediatrics Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.