Organization Active NPI

Herman L. Rundle, M.D. Inc

  • Ophthalmology Physician
  • Orange, CA
National Provider Identifier
1801811641
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G9113 Issued in CA
Legal business name
HERMAN L. RUNDLE, M.D. INC
Practice address
1031 W Chapman Ave
Suite 203
Orange, CA 92868-2826
Phone
(714) 558-2822
Fax
(714) 835-3726
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. Herman Lloyd Rundle, M.D.NPI 1942242326
Title
Owner
Phone
(714) 558-2822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G9113 CA Primary

Addresses

Primary practice location

1031 W Chapman Ave
Suite 203
Orange, CA 92868-2826

Mailing address

1031 W Chapman Ave
Suite 203
Orange, CA 92868-2826
Phone (714) 558-2822

Other identifiers 1

IdentifierTypeStateIssuer
000G91130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071231000586 CA Part B Supplier - Clinic/Group Practice 6305926478 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
Ste E204
Santa Ana, CA 92701
Phone (714) 558-2822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1801811641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682826",
            "telephone_number": "714-558-2822",
            "fax_number": "714-835-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682826",
            "telephone_number": "714-558-2822",
            "fax_number": "714-835-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN L. RUNDLE, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "RUNDLE",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-558-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G9113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G91130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.