Individual provider Active NPI

Eddie C Pyune, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1457445124
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A44458 Issued in CA
Practice address
12828 Harbor Blvd
Suite 230
Garden Grove, CA 92840-5831
Phone
(714) 741-4900
Fax
(714) 741-4910
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A44458 CA Primary

Addresses

Primary practice location

12828 Harbor Blvd
Suite 230
Garden Grove, CA 92840-5831

Mailing address

12828 Harbor Blvd
Suite 230
Garden Grove, CA 92840-5831
Phone (714) 741-4900

Other names 1

  • Edward C Pyune Professional name

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
I20050712001154 CA Practitioner - Family Practice 9931135860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12828 Harbor Blvd
Suite 230
Garden Grove, CA 92840-5834

Hospital & facility affiliations

  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as individual
Quality
87.33
Improvement activities
40
Cost
69.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Medical Group, Inc Family Medicine CurrentSince May 1, 1989 Accepting new patients
Francisco Badar MD Inc Family Medicine Past Accepting new patients

Locations

12828 Harbor Blvd
Ste 230
Garden Grove, CA 92840
Phone (714) 741-4900

12828 Harbor Blvd
Fl 2
Garden Grove, CA 92840
Phone (714) 741-0211

Interoperability endpoints

  • Direct secure messaging: pyune.eddie.001.0050530@emg.meditab.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1457445124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD",
            "address_2": "SUITE 230",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405831",
            "telephone_number": "714-741-4900",
            "fax_number": "714-741-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD",
            "address_2": "SUITE 230",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405831",
            "telephone_number": "714-741-4900",
            "fax_number": "714-741-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYUNE",
        "first_name": "EDDIE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "PYUNE",
            "middle_name": "C",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.