Active NPI
David Cupp, MD
- Retina Specialist (Ophthalmology) Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- A120754
- Practice address
- 3939 J St
Suite 106
Sacramento, CA 95819-3636 - Phone
- (916) 454-4861
- Fax
- (916) 454-3603
- NPI assigned
- Aug 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A120754 | CA | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | A120754 | CA | Primary |
Addresses
Primary practice location
3939 J St
Suite 106
Sacramento, CA 95819-3636
Mailing address
3939 J St
Suite 104
Sacramento, CA 95819-3636
Phone (916) 454-4861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1207540 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Pennsylvania State University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1870 Lassen Blvd
Suite B
Yuba City, CA 95993-9455
Phone (530) 273-8358
Hospital & facility affiliations
- Mercy General Hospital
- Sierra Nevada Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120754 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Vitreo-Retinal Medical Group, Inc | Retina Specialist | Current | Accepting new patients |
| Vitreo-Retinal Medical Group, Inc. | Ophthalmology | Current | Accepting new patients |
| Vitreo-Retinal Medical Group, Inc. | Ophthalmology | Current | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Capitol Urology Medical Group Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients |
Locations
2460 Beacon St
Chico, CA 95928
Phone (530) 899-2251
9381 E Stockton Blvd
Ste 106
Elk Grove, CA 95624
Phone (916) 454-6191
2470 Hilborn Rd
Ste 150
Fairfield, CA 94534
Phone (707) 446-7676
2470 Hilborn Rd
Fairfield, CA 94534
Phone (707) 446-7676
2330 E Bidwell St
Ste 200
Folsom, CA 95630
Phone (916) 293-9381
300 Sierra College Dr
Ste 265
Grass Valley, CA 95945
Phone (530) 271-7070
4712 Stoddard Rd
Ste 180
Modesto, CA 95356
Phone (209) 549-8444
1680 E Roseville Pkwy
Ste 140
Roseville, CA 95661
Phone (916) 774-0100
3 Park Center Dr
Ste 100
Sacramento, CA 95825
Phone (916) 454-4861
5775 Greenback Ln
Sacramento, CA 95841
Phone (916) 339-3655
3939 J St
Ste 106
Sacramento, CA 95819
Phone (916) 454-4861
3 Park Center Dr
Ste 210
Sacramento, CA 95825
Phone (916) 454-6191
5771 Greenback Ln
Sacramento, CA 95841
Phone (916) 239-2042
3939 J St
Ste 104
Sacramento, CA 95819
Phone (916) 453-4768
3555 Deer Park Dr
Ste 180
Stockton, CA 95219
Phone (209) 461-3390
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
615 International Pkwy
Ste 103
Tracy, CA 95377
Phone (209) 477-3007
1870 Lassen Blvd
Ste B
Yuba City, CA 95993
Phone (530) 273-8358
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- david.cupp@direct.retinalmd.nextgenshare.com
Organizations & group practices 11
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.
-
- Retina Specialist (Ophthalmology) Physician
- Modesto, CA
- NPI 1114010949
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Retina Specialist (Ophthalmology) Physician
- Tracy, CA
- NPI 1326880642
-
- Ophthalmology Physician
- Fairfield, CA
- NPI 1497897532
-
- Medical Specialty Clinic/Center
- Sacramento, CA
- NPI 1053379057
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1497901565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 J ST",
"address_2": "SUITE 104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193636",
"telephone_number": "916-454-4861",
"fax_number": "916-454-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 J ST",
"address_2": "SUITE 106",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193636",
"telephone_number": "916-454-4861",
"fax_number": "916-454-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPP",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A120754",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "A120754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1207540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.