Keith Vincent Rundle, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G97929 Issued in CA

Practice address

1031 W Chapman Ave Ste 203
Orange, CA 92868-2872

Phone

(714) 221-2020

Fax

(714) 835-3726

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

George Washington University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of CaliforniaGroup PAC ID 9830094275, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.9 of 100Reported as individual

Quality

79.3

Improvement activities

40

Cost

70.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Keith V. Rundle M.D., Inc.

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1962426304
  Medicare reassignment NPD Authorized official
• Regents of the University of California

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1871541953
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Rheumatology Physician
  • Orange, CA
  • NPI 1487602579

  Ophthalmology

  Medicare reassignment NPD
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1245267285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W CHAPMAN AVE STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682872",
            "telephone_number": "714-558-2822",
            "fax_number": "714-835-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W CHAPMAN AVE STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682872",
            "telephone_number": "714-221-2020",
            "fax_number": "714-835-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLE",
        "first_name": "KEITH",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G97929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G797290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesenia Ruiz
• Zachariah Jacob Ruiz, NONE
• Michael Ruminski
• Elizabeth Runcie, D.O.
• Herman Lloyd Rundle, M.D.
• Josh Runley
• Robert Patrick Runner, MD
• Winnie Yueh-Wen Ruo, M.D
• Christopher Earl Ruper, LMFT
• Robert F Ruper, MD

• Ophthalmology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.