Individual provider Active NPI

Arlene Gwon, MD

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1114090537
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G22586 Issued in CA
Practice address
8 Trafalgar
Newport Beach, CA 92660-6830
Phone
(949) 640-8620
Fax
(949) 640-6660
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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 G22586 CA Primary

Addresses

Primary practice location

8 Trafalgar
Newport Beach, CA 92660-6830

Mailing address

8 Trafalgar
Newport Beach, CA 92660-6830
Phone (949) 760-6280

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
I20040210000505 CA Practitioner - Ophthalmology 0042104200 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ophthalmology CurrentSince Jun 15, 2010 Accepting new patients
Patrick Francis Sheehy and Arlene Gwon MDS Inc Ophthalmology Past Accepting new patients

Locations

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1114090537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TRAFALGAR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606830",
            "telephone_number": "949-760-6280",
            "fax_number": "949-640-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TRAFALGAR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606830",
            "telephone_number": "949-640-8620",
            "fax_number": "949-640-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWON",
        "first_name": "ARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G22586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.