Individual provider Active NPI

David Taehyung Ahn, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Newport Beach, CA
National Provider Identifier
1184949570
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A117662 Issued in CA
Practice address
520 Superior Ave Ste 150
Newport Beach, CA 92663-3642
Phone
(949) 764-7366
Fax
(949) 642-7703
NPI assigned
Mar 29, 2010
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A117662 CA Primary

Addresses

Primary practice location

520 Superior Ave Ste 150
Newport Beach, CA 92663-3642

Mailing address

1771 La Loma Dr
Santa Ana, CA 92705-3056

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
I20150629001684 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 2567774946 Reassigns benefits to 1 organization
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Ahn MD IncGroup PAC ID 7911307442, 4 clinicians

Practice addresses (Care Compare)

520 Superior Ave
Suite 150
Newport Beach, CA 92663-3642
Phone (949) 764-8065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.28 of 100Reported as individual
Quality
98.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117662CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Ahn, M.D., Inc Endocrinology, Diabetes & Metabolism CurrentSince Dec 4, 2021 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

520 Superior Ave
Ste 150
Newport Beach, CA 92663
Phone (949) 764-7366

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1184949570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 LA LOMA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633642",
            "telephone_number": "949-764-7366",
            "fax_number": "949-642-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "DAVID",
        "middle_name": "TAEHYUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A117662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.