David Lawrence Nunez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G69151 Issued in CA

Practice address

1725 W 17TH St
Suite 101M
Santa Ana, CA 92706-2316

Phone

(714) 567-6253

Fax

(714) 834-8370

NPI assigned

Nov 22, 2010

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coppertower Family Medical Center

  dba Alexander Valley Healthcare

  • Federally Qualified Health Center (FQHC)
  • Cloverdale, CA
  • NPI 1033534466
  Medicare reassignment NPD
• Coppertower Family Medical Center

  dba Alexander Valley Healthcare

  • Rural Health Clinic/Center
  • Cloverdale, CA
  • NPI 1467427310
  NPD

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1396047437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W 17TH ST",
            "address_2": "SUITE 101M",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062316",
            "telephone_number": "714-567-6253",
            "fax_number": "714-834-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 17TH ST",
            "address_2": "SUITE 101M",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062316",
            "telephone_number": "714-567-6253",
            "fax_number": "714-834-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Nsilu
• Nu Health Surgical Center LLC (NuHealth Surgical Center)
• Kenneth Leonard Nudleman, MD
• Helen Lisbeth Nunez Salas
• Daniel Nunez, PSY.D.
• J Daneiel Nunez, CP
• Jocelyn Korine Nunez
• Karla Maria Nunez, LICENSED VOCATIONAL
• Marion Nunez
• Patricia Nunez, SPA 834

• Pediatrics Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.