Individual provider Active NPI

David Nah, DO

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1477847127
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A20968 Issued in CA
Practice address
25431 Cabot Rd Ste 118
Laguna Hills, CA 92653-5527
Phone
(949) 362-8877
NPI assigned
May 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A20968 CA Primary

Addresses

Primary practice location

25431 Cabot Rd Ste 118
Laguna Hills, CA 92653-5527

Mailing address

25431 Cabot Rd Ste 118
Laguna Hills, CA 92653-5527
Phone (949) 362-8877

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
I20240509003729 CA Practitioner - Internal Medicine 1951742816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Health Medical Group, IncGroup PAC ID 4981646676, 5 clinicians

Practice addresses (Care Compare)

25431 Cabot Rd
Suite 118
Laguna Hills, CA 92653-5527
Phone (949) 362-8877

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20968CAMDInternal Medicine Physician
20968CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health Medical Group, Inc Internal Medicine CurrentSince Mar 22, 2024 Accepting new patients

Locations

25431 Cabot Rd
Ste 118
Laguna Hills, CA 92653
Phone (949) 362-8877

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1477847127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 118",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535527",
            "telephone_number": "949-362-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 118",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535527",
            "telephone_number": "949-362-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAH",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-29",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A20968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.