Individual provider Active NPI

David Ling, MD

  • Obstetrics & Gynecology Physician
  • Huntington Beach, CA
National Provider Identifier
1194709535
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C29051 Issued in CA
Practice address
17692 Beach Blvd
Suite 305
Huntington Beach, CA 92647-6811
Phone
(714) 848-5909
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C29051 CA Primary

Addresses

Primary practice location

17692 Beach Blvd
Suite 305
Huntington Beach, CA 92647-6811

Mailing address

17692 Beach Blvd
Suite 305
Huntington Beach, CA 92647-6811
Phone (714) 848-5909

Other identifiers 1

IdentifierTypeStateIssuer
00C290510MedicaidCA

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
I20041022001029 CA Practitioner - Obstetrics/Gynecology 4385605310 Practice locations: Burbank, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C29051CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1194709535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17692 BEACH BLVD",
            "address_2": "SUITE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476811",
            "telephone_number": "714-848-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17692 BEACH BLVD",
            "address_2": "SUITE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476811",
            "telephone_number": "714-848-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C29051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C290510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.