Active NPI
Arnold Cuenca, D.O.
- Sports Medicine (Family Medicine) Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 20A9391
- Practice address
- 23512 Madero
Mission Viejo, CA 92691 - Phone
- (949) 583-1600
- Fax
- (949) 454-8067
- NPI assigned
- Oct 18, 2006
- Last updated
- May 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9391 | CA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A9391 | CA | Primary |
Addresses
Primary practice location
23512 Madero
Mission Viejo, CA 92691
Mailing address
23512 Madero
Mission Viejo, CA 92691-2743
Phone (949) 583-1600
Other practice location 1
800 Corporate Dr Ste 100
Ladera Ranch, CA 92694-1153
Phone (949) 364-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70394F | Other | MEDI CAL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
23512 Madero
Mission Viejo, CA 92691-2743
Phone (949) 583-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9391 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Family Medicine | Current | Accepting new patients |
| Bristol Park Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
26538 Moulton Pkwy
Ste 38E
Laguna Hills, CA 92653
Phone (949) 448-0656
23512 Madero
Mission Viejo, CA 92691
Phone (949) 583-1600
30492 Gateway Pl
Ste 110
Rancho Mission Viejo, CA 92694
Phone (657) 241-8601
29472 Avenida de las Bandera
Rcho Sta Marg, CA 92688
Phone (949) 459-9968
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- acuenca494922@direct.memorialcare.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1306927371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23512 MADERO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912743",
"telephone_number": "949-583-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23512 MADERO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-583-1600",
"fax_number": "949-454-8067"
}
],
"practiceLocations": [
{
"address_1": "800 CORPORATE DR STE 100",
"address_purpose": "LOCATION",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926941153",
"country_code": "US",
"telephone_number": "949-364-9112",
"fax_number": "949-364-9016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUENCA",
"first_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9391",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "20A9391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "FHC70394F",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
- Crown Valley Surgery Center
- Cruz-Hoppe Dental Corporation (High Park Dental Group)
- Vanessa Gabriela Cruz, D.D.S.
- Katalin Csoka, MD, PHD, L.AC
- Bennett Cua, M.D.
- Rosa Elena Cuevas
- Cummings, Balasanian, Caputo & Nicholls Dental Group, Inc. (Orange County Centers for Oral Surgery & Dental Implants)
- Jessica Cummings, PA-C
- Liam Cummings, BA
- Lisa Ann Cummings, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.