Individual provider Active NPI

David B Sacks, MD

  • Ophthalmology Physician
  • Santa Ana, CA
National Provider Identifier
1114087764
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A30335 Issued in CA
Practice address
999 N Tustin Ave
122
Santa Ana, CA 92705-6505
Phone
(714) 542-3961
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A30335 CA Primary

Addresses

Primary practice location

999 N Tustin Ave
122
Santa Ana, CA 92705-6505

Mailing address

999 N Tustin Ave
122
Santa Ana, CA 92705-6505
Phone (714) 542-3961

Other identifiers 2

IdentifierTypeStateIssuer
00A30335MedicaidCA
A30335OtherCASTATE LICENCE

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
I20081007000135 CA Practitioner - Ophthalmology 7810065695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

999 N Tustin Ave
Suite 122
Santa Ana, CA 92705-6505
Phone (714) 542-3961

Merit-based Incentive Payment System (MIPS)

Final score
12.22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
40.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30335CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Bernard Sacks MD Inc Ophthalmology CurrentSince Oct 7, 2008 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

999 N Tustin Ave
Ste 122
Santa Ana, CA 92705
Phone (714) 542-3961

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1114087764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "122",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056505",
            "telephone_number": "714-542-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "122",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056505",
            "telephone_number": "714-542-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A30335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A30335",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "A30335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.