David A McDonough, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G73043 Issued in CA

Practice address

12721 Newport Ave Ste 3
Tustin, CA 92780-8031

Phone

(310) 288-5933

Fax

(866) 683-4556

NPI assigned

Mar 8, 2007

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 2

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

Internal MedicineAlso: Emergency Medicine

Education

Vanderbilt University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vista Medical Partners a Professional Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043366164
  Medicare reassignment Authorized official
• Michael Keith Wensley MD Inc a Medical Corporation

  • Specialist
  • Newport Beach, CA
  • NPI 1861721250
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1295866341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N WALNUTHAVEN DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223927",
            "telephone_number": "310-288-5933",
            "fax_number": "866-683-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 NEWPORT AVE STE 3",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808031",
            "telephone_number": "310-288-5933",
            "fax_number": "866-683-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-UNSPEC",
            "identifier": "WG73043N",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Wayne McBeath, DR
• Roseann Bailey McCants, SUDCC III
• Michael J. McCartney, D.D.S.
• Glenn Earle McClellan II, PH.D.
• Robert McDaniel, MD
• Linda McFadden, LCSW MFCC
• Jennifer Rose McGivern, LMFT
• M Jane McGlocklin-Noble, LCSW
• Cecilia Juliana McKay, LMFT
• Kasey McKay

• Internal Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.