HURTT FAMILY HEALTH CLINIC, INC. (NPI# 1003250093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003250093 |
| Entity Type | Organization |
| Organization Name | HURTT FAMILY HEALTH CLINIC, INC. |
| Practice Address |
1100b N Tustin Ave Ste Adf Santa Ana CA 92705-3505 |
| Mailing Address |
One Hope Drive Tustin CA 92782-0222 |
| Practice Telephone | 7142474300 |
| Practice Fax Number | 7142591598 |
| Mailing Telephone | 7142470300 |
| Mailing Fax Number | 7142591598 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | BECKY CARTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7142478044 |
| Is Organization Subpart | Y |
| Parent Organization Name | HURTT FAMILY HEALTH CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235546995 | Hurtt Family Health Clinic, Inc. | Clinic/Center | 1 Hope Dr, Tustin, CA 92782-0221 | 2014-07-15 |
| 1619384369 | Hurtt Family Health Clinic, Inc. | Clinic/Center | 1 Hope Dr, Tustin, CA 92782-0221 | 2014-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HURTT FAMILY HEALTH CLINIC, INC. | 1 Hope Dr, Tustin, CA 92782-0221 |
| Street Address |
1100B N TUSTIN AVE STE ADF |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1295082774 | Share Our Selves Corporation | Clinic/Center | 1014 N. Broadway, Santa Ana, CA 92701-3141 | 2012-08-14 |
| 1134636889 | Southland Integrated Services, Inc. | Clinic/Center | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2018-01-03 |
| 1598124083 | Vista Community Clinic | Clinic/Center | 1525 E 17th St, Unit #b, Santa Ana, CA 92705-8521 | 2016-02-12 |
| 1366834400 | Altamed Health Services Corp | Clinic/Center | 1155 W Central Ave, Suites 104-107, Santa Ana, CA 92707-3165 | 2015-02-26 |
| 1740427657 | Altamed Health Services Corp | Clinic/Center | 1400 N Main St, Santa Ana, CA 92701-2304 | 2009-01-14 |
| 1730349960 | University of California Irvine | Clinic/Center | 800 N Main St, Santa Ana, CA 92701-3576 | 2008-06-11 |
| 1760651814 | Altamed Health Services Corp | Clinic/Center | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2008-02-22 |
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| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.