Individual provider Active NPI

David E Yomtoob, MD

  • Ophthalmology Physician
  • Orange, CA
National Provider Identifier
1841487030
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A107904 Issued in CA
Practice address
3111 N Tustin St Ste 150
Orange, CA 92865-1752
Phone
(714) 771-1900
Fax
(714) 771-2020
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A107904 CA Primary

Addresses

Primary practice location

3111 N Tustin St Ste 150
Orange, CA 92865-1752

Mailing address

3111 N Tustin St Ste 150
Orange, CA 92865-1752
Phone (714) 771-1900

Other practice location 1

1310 W Stewart Dr
Suite 501
Orange, CA 92868-3854
Phone (714) 771-2020

Other identifiers 2

IdentifierTypeStateIssuer
1841487030OtherCANPI
1225467038OtherCAORGANIZATIONAL NPI

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
I20090812000523 CA Practitioner - Ophthalmology 0547314494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Eye Consultants Inc.Group PAC ID 4284861014, 6 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 311
Orange, CA 92868-3838
Phone (714) 771-2020

41340 Big Bear Blvd
Big Bear Lake, CA 92315-2049
Phone (714) 771-2020

Hospital & facility affiliations

  • Bear Valley Community Hospital Hospital, Big Bear Lake, CA, CCN 051335

Merit-based Incentive Payment System (MIPS)

Final score
91.51 of 100Reported as group
Quality
97.31
Improvement activities
40
Cost
75.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107904CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital Past Accepting new patients
Ayala Arizmendi Dental Corporation PastSince Jan 2, 2014 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1841487030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 N TUSTIN ST STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651752",
            "telephone_number": "714-771-1900",
            "fax_number": "714-771-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N TUSTIN ST STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651752",
            "telephone_number": "714-771-1900",
            "fax_number": "714-771-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W Stewart Dr",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683854",
            "country_code": "US",
            "telephone_number": "714-771-2020",
            "fax_number": "714-771-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOMTOOB",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A107904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841487030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1225467038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.