Dr Kevin Mitsutoshi Gustafson, MD - Medicare Ophthalmology in Santa Ana, CA

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Dr Kevin Mitsutoshi Gustafson, MD is a medicare enrolled "Ophthalmology" physician in Santa Ana, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 3401 S Harbor Blvd, Santa Ana, California. You can reach out to his office (for appointments etc.) via phone at (888) 988-2800.

Dr Kevin Mitsutoshi Gustafson is licensed to practice in California (license number A165714) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093210981.

Contact Information

Dr Kevin Mitsutoshi Gustafson, MD
3401 S Harbor Blvd,
Santa Ana, CA 92704-7933
(888) 988-2800
Not Available

Map and Direction




Physician's Profile

Full NameDr Kevin Mitsutoshi Gustafson
GenderMale
SpecialityOphthalmology
Experience6 Years
Location3401 S Harbor Blvd, Santa Ana, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Mitsutoshi Gustafson attended and graduated from University Of California, Irvine, California College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1093210981
  • Provider Enumeration Date: 03/24/2018
  • Last Update Date: 10/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668804584
  • Enrollment ID: I20220525002490

Medical Identifiers

Medical identifiers for Dr Kevin Mitsutoshi Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093210981NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A165714 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kevin Mitsutoshi Gustafson allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602579
PECOS PAC ID: 7315841434
Enrollment ID: O20031120000945
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871541953
PECOS PAC ID: 9830094275
Enrollment ID: O20031126000755

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Mitsutoshi Gustafson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin Mitsutoshi Gustafson, MD
3401 S Harbor Blvd,
Santa Ana, CA 92704-7933

Ph: (888) 988-2800		Dr Kevin Mitsutoshi Gustafson, MD
3401 S Harbor Blvd,
Santa Ana, CA 92704-7933

Ph: (888) 988-2800

Reviews and Comments


Ophthalmology Doctors in Santa Ana, CA

David B Sacks, MD
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Practice Location: 999 N Tustin Ave, 122, Santa Ana, CA 92705
Phone: 714-542-3961    
Dr. Richard Allen Hill, M.D.
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Phone: 714-542-0111    Fax: 714-542-8211
Dr. Timothy T You, M.D.
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Practice Location: 1200 N Tustin Ave, Ste 140, Santa Ana, CA 92705
Phone: 714-972-8235    
Dr. Sanford Chen, M.D.
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Practice Location: 1200 N Tustin Ave, Ste 140, Santa Ana, CA 92705
Phone: 714-972-8235    
Dr. Michael Bruce Lappin, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 801 N Tustin Ave, Suite 700, Santa Ana, CA 92705
Phone: 714-541-4185    Fax: 714-541-3465
Noor Amra, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3401 S Harbor Blvd, Santa Ana, CA 92704
Phone: 888-988-2800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.