David Bernard Sacks MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A30335 Issued in CA

Legal business name

DAVID BERNARD SACKS MD INC

Practice address

999 N Tustin Ave
#122
Santa Ana, CA 92705-3528

Phone

(714) 542-3961

Fax

(714) 542-4893

NPI assigned

Apr 19, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Bernard Sacks, MDNPI 1114087764

Title

Opthamologist

Phone

(714) 542-3961

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David B Sacks, MD

  • Ophthalmology Physician
  • Santa Ana, CA
  • NPI 1114087764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1871558221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "#122",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056505",
            "telephone_number": "714-542-3961",
            "fax_number": "714-542-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "#122",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-542-3961",
            "fax_number": "714-542-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BERNARD SACKS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OPTHAMOLOGIST",
        "authorized_official_telephone_number": "714-542-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A30335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A30335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahriar Bobby Davari, M.D.
• Borzuyeh Brad Davarpanah, LMFT
• Preeti K Dave, PA
• Priyanka Dave
• Ashley Kaylene Davenport, LMFT
• David C. Yang, M.D., Inc. (Bristol Pediatrics, Inc.)
• David Francisco Zegarra Dental Corporation (Luna Family Dental)
• David M. Cashman DDS, Inc. (Santa Ana Dental Group)
• David M. Diaz, DDS
• David Sanchez M D Inc

• Ophthalmology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.