Individual provider Active NPI

Robert Del Junco, M.D.

  • Otolaryngology Physician
  • Orange, CA
National Provider Identifier
1295734721
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A40272 Issued in CA
Practice address
1140 W la Veta Ave
Ste. 520
Orange, CA 92868-4225
Phone
(714) 543-2000
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A40272 CA Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A40272 CA

Addresses

Primary practice location

1140 W la Veta Ave
Ste. 520
Orange, CA 92868-4225

Mailing address

PO Box 5971
Orange, CA 92863-5971
Phone (714) 571-5000

Other identifiers 3

IdentifierTypeStateIssuer
040017806OtherRAILROAD MEDICARE
040009587OtherRAILROAD MEDICARE
00A402720MedicaidCA

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
I20100427000531 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9436043296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Entrust Medical CorporationGroup PAC ID 1355235110, 6 clinicians

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 520
Orange, CA 92868-4227
Phone (714) 543-2000

1310 W Stewart Dr
Suite 502
Orange, CA 92868-3856
Phone (714) 450-1047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40272CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Entrust Medical Corporation Otolaryngology CurrentSince May 1, 2002 Accepting new patients
Simon Madorsky M.D a Medical Corporation Past Accepting new patients

Locations

725 W La Veta Ave
Ste 270
Orange, CA 92868
Phone (714) 744-8900

1310 W Stewart Dr
Ste 502
Orange, CA 92868
Phone (714) 288-9428

1140 W La Veta Ave
Ste 515
Orange, CA 92868
Phone (714) 543-2000

1140 W La Veta Ave
Ste 520
Orange, CA 92868
Phone (714) 543-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJFCD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1295734721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5971",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635971",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "STE. 520",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-543-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL JUNCO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A40272",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A40272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040017806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040009587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.