UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN (NPI# 1356731962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356731962 |
| Entity Type | Organization |
| Organization Name | UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN |
| Practice Address |
1451 Irvine Blvd Tustin CA 92780-3804 |
| Mailing Address |
Po Box 54509 Los Angeles CA 90054-0509 |
| Practice Telephone | 7148388878 |
| Practice Fax Number | 7148388988 |
| Mailing Telephone | 7144566585 |
| Mailing Fax Number | 7144568101 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | ROGER L. CRUMLEY (INTERIM PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457737678 | Uc Irvine Health Specialty Clinic- Tustin | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2015-08-11 |
| 1871979435 | Uc Irvine Health Specialty Clinic- Tustin | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2015-08-06 |
| Street Address |
1451 IRVINE BLVD |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881649853 | Almoatazbellah Magdeldin Idriss | Internal Medicine | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2006-05-24 |
| 1285161968 | Shannon Melcher | Family Medicine | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2017-05-12 |
| 1447784590 | Maria Kim | Family Medicine | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2017-04-15 |
| 1558894907 | Thomas Azeizat | Family Medicine | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2017-04-04 |
| 1265887756 | Uc Irvine Health Specialty Clinic- Tustin (urology) | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2016-05-03 |
| 1366897860 | Uc Irvine Health Specialty Clinic- Tustin (surgery) | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2016-05-03 |
| 1467815241 | Uc Irvine Health Medical Group- Tustin, Fam Med | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2016-03-30 |
| 1447621826 | Uc Irvine Health Specialty Clinic - Tustin | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2015-10-12 |
| 1255707451 | University Head & Neck Surgeons | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2015-08-11 |
| 1457737678 | Uc Irvine Health Specialty Clinic- Tustin | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663830 | Healing Roots Community Acupuncture | Clinic/Center | 17541 Irvine Blvd Ste D, Tustin, CA 92780-3158 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
| 1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
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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.