Active NPI
David L Wirta, MD
- Ophthalmology Physician
- Newport Beach, CA
National Provider Identifier
1255435822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G81350
- Practice address
- 520 Superior Ave Ste 235
Newport Beach, CA 92663-3642 - Phone
- (949) 650-1863
- Fax
- (949) 650-4359
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G81350 | CA | Primary |
Addresses
Primary practice location
520 Superior Ave Ste 235
Newport Beach, CA 92663-3642
Mailing address
1501 Superior Ave
Suite 303
Newport Beach, CA 92663
Phone (949) 650-1863
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101209000875 | CA | Practitioner - Ophthalmology | 7911194402 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of California, Geffen School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Superior Ave
Suite 235
Newport Beach, CA 92663-3642
Phone (949) 650-1863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G81350 | CA | MD | Ophthalmology Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Wirta M D Inc | Current | Accepting new patients | |
| Aisthetikos, Inc | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
1501 Superior Ave
Ste 303
Newport Beach, CA 92663
Phone (949) 642-7600
520 Superior Ave
Ste 235
Newport Beach, CA 92663
Phone (949) 650-1863
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Plastic Surgery Physician
- Newport Beach, CA
- NPI 1295965440
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1255435822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "SUITE 303",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-650-1863",
"fax_number": "949-650-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE STE 235",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633642",
"telephone_number": "949-650-1863",
"fax_number": "949-650-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTA",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G81350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.