Individual provider Active NPI

Peter Scott Jungwirth, M.D.

  • Internal Medicine Physician
  • Laguna Niguel, CA
National Provider Identifier
1164566477
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G47721 Issued in CA
Practice address
30111 Niguel Rd
Suite H
Laguna Niguel, CA 92677-2260
Phone
(949) 495-4524
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G47721 CA Primary

Addresses

Primary practice location

30111 Niguel Rd
Suite H
Laguna Niguel, CA 92677-2260

Mailing address

30111 Niguel Rd
Suite H
Laguna Niguel, CA 92677-2260
Phone (949) 495-4524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Family Medicine GP Internal Medicine Past Accepting new patients
Dana Niguel Internal Medicine Group Internal Medicine Past Accepting new patients

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1164566477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30111 NIGUEL RD",
            "address_2": "SUITE H",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772260",
            "telephone_number": "949-495-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30111 NIGUEL RD",
            "address_2": "SUITE H",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772260",
            "telephone_number": "949-495-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGWIRTH",
        "first_name": "PETER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G47721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.