David Boyd Light, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

23594 Issued in CA

Practice address

12800 Garden Grove Blvd Ste F
Garden Grove, CA 92843-2008

Phone

(714) 620-8131

NPI assigned

Nov 1, 2013

Last updated

Jun 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tolwin Psychiatric Medical Group IncGroup PAC ID 9830127414, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• College Medical Center Hospital, Long Beach, CA, CCN 050776

Merit-based Incentive Payment System (MIPS)

Final score

77.19 of 100Reported as group

Quality

53.33

Improvement activities

40

Cost

52.84

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tolwin Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Culver City, CA
  • NPI 1740227545
  Medicare reassignment Care Compare group NPD
• College Community Services

  dba AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1043354624
  Medicare reassignment NPD
• College Community Services

  dba AMHS Clarvida Camino Nuevo

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1235274804
  NPD
• College Community Services

  dba Clarvida

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD
• Culver City Psychological Associates, Inc.

  • Clinical Psychologist
  • Culver City, CA
  • NPI 1689684607
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHLB, LLC

  dba College Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626
  Care Compare affiliation

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1245669134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 GARDEN GROVE BLVD STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432008",
            "telephone_number": "714-620-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 GARDEN GROVE BLVD STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432008",
            "telephone_number": "714-620-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "DAVID",
        "middle_name": "BOYD",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "23594",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "23594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.