Individual provider Active NPI

David Michael Pino, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1669571410
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G34344 Issued in CA
Practice address
26922 Oso Pkwy Ste 380
Mission Viejo, CA 92691
Phone
(949) 282-1065
Fax
(949) 282-0015
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 G34344 CA Primary

Addresses

Primary practice location

26922 Oso Pkwy Ste 380
Mission Viejo, CA 92691

Mailing address

26922 Oso Pkwy Ste 380
Mission Viejo, CA 92691-5800
Phone (949) 282-1065

Other identifiers 1

IdentifierTypeStateIssuer
G34344OtherCACA. STATE LICENCE

Other names 1

  • David M. Pino 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
I20090805000416 CA Practitioner - Internal Medicine 4688727837 Reassigns benefits to 2 organizations
Practice locations: Laguna Beach, CA; Mission Viejo, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G34344CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Oct 23, 2017 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Oct 23, 2017 Accepting new patients
Karl Gebhard MD a Professional Corporation CurrentSince Jan 1, 2018 Accepting new patients
MD Solutions Medical Corp Past Accepting new patients

Locations

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26922 Oso Pkwy
Ste 380
Mission Viejo, CA 92691
Phone (949) 582-5430

30200 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675

Organizations & group practices 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1669571410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26922 OSO PKWY STE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915800",
            "telephone_number": "949-282-1065",
            "fax_number": "949-282-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26922 OSO PKWY STE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-282-1065",
            "fax_number": "949-282-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. STATE LICENCE",
            "identifier": "G34344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "PINO",
            "middle_name": "M.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.