David G. Kirschen, OD, PHD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

OP5418T Issued in CA

Practice address

428 S Brea Blvd
Brea, CA 92821-5301

Phone

(714) 529-2470

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1821048141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215301",
            "telephone_number": "714-529-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215301",
            "telephone_number": "714-529-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHEN",
        "first_name": "DAVID",
        "middle_name": "G.",
        "credential": "OD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OP5418T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0054183",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yongseong Kim, PT, DPT
• Meagan Balmas Kimbrell
• Kindride
• Allison Kintzle, SPA
• Alaria Anton Kiraz, RPH
• Elisa Ann Kiser, M.S., LMFT
• Samantha Kishek
• Rochelle Kissack, PT
• Kmaleki,D.D.S.Inc
• KND Development 59, LLC

• Pediatric Optometrist in Brea, CA
• Providers in Brea, CA by specialty
• Pediatric Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.