Active NPI
David J Perkowski, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- C38668
- Practice address
- 24411 Health Center Dr
Suite 680
Laguna Hills, CA 92653-3651 - Phone
- (949) 268-4568
- Fax
- (949) 455-2795
- NPI assigned
- Jul 13, 2006
- Last updated
- Nov 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | C38668 | CA | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 22773 | NV |
Addresses
Primary practice location
24411 Health Center Dr
Suite 680
Laguna Hills, CA 92653-3651
Mailing address
17360 Brookhurst St
Attn: MCMF - Credentialing Department
Fountain Valley, CA 92708-3720
Other practice location 1
7190 S Cimarron Rd
Las Vegas, NV 89113-2171
Phone (702) 675-3240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C386680 | Medicaid | CA | |
| C38668 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C38668 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
24411 Health Center Dr
Ste 680
Laguna Hills, CA 92653
Phone (949) 268-4568
1310 W Stewart Dr
Ste 503
Orange, CA 92868
Phone (714) 532-0793
1180 N Indian Canyon Dr
Ste E318
Palm Springs, CA 92262
Phone (760) 327-5300
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Specialist
- Orange, CA
- NPI 1154336949
-
dba Physician Practice Management
- Surgery Physician
- Salina, KS
- NPI 1619952785
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
dba Hi Desert Radiology Physician
- Radiology Clinic/Center
- Joshua Tree, CA
- NPI 1477683951
-
dba John F. Kennedy Memorial Hospital
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
dba Providence Mission Hospital
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba Orange County Global Medical Center
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1942226279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"address_2": "ATTN: MCMF - CREDENTIALING DEPARTMENT",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24411 HEALTH CENTER DR",
"address_2": "SUITE 680",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533651",
"telephone_number": "949-268-4568",
"fax_number": "949-455-2795"
}
],
"practiceLocations": [
{
"address_1": "7190 S Cimarron Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891132171",
"country_code": "US",
"telephone_number": "702-675-3240",
"fax_number": "702-982-6347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKOWSKI",
"first_name": "DAVID",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "C38668",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NV",
"license": "22773",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C386680",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C38668",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.