Keith V. Rundle M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G97929 Issued in CA

Legal business name

KEITH V. RUNDLE M.D., INC.

Practice address

1031 W Chapman Ave Ste 203
Orange, CA 92868-2872

Phone

(714) 558-2822

Fax

(714) 835-3726

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Keith Vincent Rundle, M.D.NPI 1245267285

Title

Owner

Phone

(714) 558-2822

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Keith Vincent Rundle, M.D.

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1245267285
  Medicare reassignment NPD Authorized official
• Mary Annette Cote, M.D.

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1114985892
  Medicare reassignment NPD
• Nathan Robert Elledge, D.O.

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1194252916
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1962426304",
    "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": "928682872",
            "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 STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682872",
            "telephone_number": "714-558-2822",
            "fax_number": "714-835-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH V. RUNDLE M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "RUNDLE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-558-2822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G97929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G797290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Louise Keating, M.D.
• Nevelyn Keba
• Nanor Mary Kechichian, FNP-C
• Ann Marie Keefer-Lynch, NP
• Seddigheh Lenjavi Keiser
• Shady Keivannia
• Pichak Kelk, DDS
• Annemarie Kelleghan, PHD
• Keller Eye Associates, Inc. a Medical Group
• Charles E. Keller Jr., M.D.

• Ophthalmology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.