Individual provider Active NPI

Davinder Singh, M.D.

  • Gastroenterology Physician
  • Fountain Valley, CA
National Provider Identifier
1114085362
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A25451 Issued in CA
Practice address
11100 Warner Ave
Suite 268
Fountain Valley, CA 92708-7512
Phone
(714) 540-9911
Fax
(714) 549-9720
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A25451 CA Primary

Addresses

Primary practice location

11100 Warner Ave
Suite 268
Fountain Valley, CA 92708-7512

Mailing address

11100 Warner Ave
Suite 268
Fountain Valley, CA 92708-7512
Phone (714) 540-9911

Other identifiers 5

IdentifierTypeStateIssuer
1912029901OtherGROUP NPI NUMBER
A25451OtherCASTATE ID NUMBER
W1608OtherGROUP MEDICARE PTAN
ZZZ71176ZMedicaidCA
WA25451COtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080114000677 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 7214018431 Reassigns benefits to 1 organization
Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountain Valley Cardiology Medical Clinic IncGroup PAC ID 6103854088, 2 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 268
Fountain Valley, CA 92708-7512
Phone (714) 540-9911

Hospital & facility affiliations

  • Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Kindred Hospital Westminster Long-term care hospital, Westminster, CA, CCN 052035
  • Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25451CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Cardiology Medical Clinic Inc. Gastroenterology CurrentSince Jan 1, 1973 Accepting new patients

Locations

11100 Warner Ave
Ste 268
Fountain Vly, CA 92708
Phone (714) 540-9911

12555 Garden Grove Blvd
Ste 305
Garden Grove, CA 92843
Phone (714) 537-7722

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1114085362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 268",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-540-9911",
            "fax_number": "714-549-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 268",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-540-9911",
            "fax_number": "714-549-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "DAVINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A25451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1912029901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID NUMBER",
            "identifier": "A25451",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "W1608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71176Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA25451C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.