Active NPI
Nelson Cunningham, MD
- Anesthesiology Physician
- Mission Viejo, CA
National Provider Identifier
1386682250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G25357
- Practice address
- 27401 Los Altos
180
Mission Viejo, CA 92691-6316 - Phone
- (949) 582-9624
- Fax
- (949) 582-9626
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G25357 | CA | Primary |
Addresses
Primary practice location
27401 Los Altos
180
Mission Viejo, CA 92691-6316
Mailing address
27401 Los Altos
180
Mission Viejo, CA 92691-6316
Phone (949) 582-9624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G253570 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25357 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1386682250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27401 LOS ALTOS",
"address_2": "180",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916316",
"telephone_number": "949-582-9624",
"fax_number": "949-582-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27401 LOS ALTOS",
"address_2": "180",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916316",
"telephone_number": "949-582-9624",
"fax_number": "949-582-9626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "NELSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G25357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G253570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.