Individual provider Active NPI

Robert Chooljian Gunzenhauser, MD

  • Ophthalmology Physician
  • Upland, CA
National Provider Identifier
1457988065
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A189179 Issued in CA
Practice address
1298 W 7TH St
Upland, CA 91786-7035
Phone
(909) 315-6891
Fax
(909) 946-3937
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A189179 CA
Ophthalmology Physician 207W00000X A189179 CA Primary

Addresses

Primary practice location

1298 W 7TH St
Upland, CA 91786-7035

Mailing address

PO Box 1075
Dana Point, CA 92629-5075
Phone (909) 315-6891

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
I20240618004054 CA Practitioner - Ophthalmology 9931642923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc H Shomer MD PHD IncGroup PAC ID 0547453888, 2 clinicians

Practice addresses (Care Compare)

1298 W 7TH St
Upland, CA 91786-7035
Phone (909) 981-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marc H. Shomer, MD, PHD, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1298 W 7th St
Upland, CA 91786
Phone (909) 981-9800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1457988065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295075",
            "telephone_number": "909-315-6891",
            "fax_number": "909-946-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 W 7TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867035",
            "telephone_number": "909-315-6891",
            "fax_number": "909-946-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNZENHAUSER",
        "first_name": "ROBERT",
        "middle_name": "CHOOLJIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A189179",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A189179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.