Individual provider Active NPI

David Michael Mitzner, D.O.

  • Family Medicine Physician
  • Murrieta, CA
National Provider Identifier
1659486025
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5898 Issued in CA
Practice address
40770 California Oaks Rd Ste a
Murrieta, CA 92562-5794
Phone
(951) 506-5768
Fax
(951) 296-0090
NPI assigned
Aug 19, 2006
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 20A5898 CA Primary

Addresses

Primary practice location

40770 California Oaks Rd Ste a
Murrieta, CA 92562-5794

Mailing address

27890 Clinton Keith Rd # D423
Murrieta, CA 92562-8571
Phone (951) 506-5768

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
I20041008000796 CA Practitioner - Family Practice 3870552300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5898CAMDFamily Medicine Physician
5898CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Associates of California PC Family Medicine CurrentSince Feb 18, 2024 Accepting new patients

Locations

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bella Terra HospiceMoreno Valley, CA, CCN 551620 Hospice W-2 Managing Employee Dec 29, 2025
Bella Terra Hospice of the DesertPalm Desert, CA, CCN 751714 Hospice W-2 Managing Employee Dec 29, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1659486025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH RD # D423",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628571",
            "telephone_number": "951-506-5768",
            "fax_number": "951-296-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40770 CALIFORNIA OAKS RD STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625794",
            "telephone_number": "951-506-5768",
            "fax_number": "951-296-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZNER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.