Individual provider Active NPI

Andrea Dunkelman, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1225087182
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A74127 Issued in CA
Practice address
1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone
(310) 678-2429
Fax
(714) 953-2523
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A74127 CA Primary

Addresses

Primary practice location

1001 N Tustin Ave
Santa Ana, CA 92705-3502

Mailing address

1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone (310) 678-2429

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
I20041203000318 CA Practitioner - General Surgery 8325004120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Burn Surgeons PCGroup PAC ID 2264755222, 2 clinicians

Practice addresses (Care Compare)

1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone (714) 953-2503

Hospital & facility affiliations

  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Dunkelman, MD Inc. a Medical Corporation CurrentSince Apr 1, 2013 Accepting new patients
Orange County Burn Surgeons PC CurrentSince Sep 8, 2014 Accepting new patients
Andrea Dunkelman MD, Inc a Medical Corporation Current Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1225087182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053502",
            "telephone_number": "310-678-2429",
            "fax_number": "714-953-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053502",
            "telephone_number": "310-678-2429",
            "fax_number": "714-953-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKELMAN",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A74127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.