PROSPECT FOOTHILL URGENT CARE (NPI# 1366834756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366834756 |
| Entity Type | Organization |
| Organization Name | PROSPECT FOOTHILL URGENT CARE |
| Practice Address |
14642 Newport Ave Ste 101 Tustin CA 92780-6058 |
| Mailing Address |
Po Box 11466 Santa Ana CA 92711-1466 |
| Practice Telephone | 7145222891 |
| Mailing Telephone | 7145222891 |
| Mailing Fax Number | 7149037801 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | MITCHELL W LEW (OWNER) |
| Authorized Official Telephone | 7148135129 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW GENESIS MEDICAL ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
14642 NEWPORT AVE STE 101 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-6058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335154 | Philip J. Fagan Jr. | Emergency Medicine | 14642 Newport Ave Ste 101, Tustin, CA 92780-6058 | 2005-06-08 |
| 1366941395 | Orange County Heart & Vascular Inc | Internal Medicine | 14642 Newport Ave Ste 101, Tustin, CA 92780-6058 | 2018-02-05 |
| 1427442672 | Mitchell W Lew | Obstetrics & Gynecology | 14642 Newport Ave Ste 101, Tustin, CA 92780-6058 | 2015-03-26 |
| 1942239306 | Dinesh Kumar | Internal Medicine | 14642 Newport Ave Ste 101, Tustin, CA 92780-6058 | 2006-06-30 |
| 1831193895 | Chin-wei Huang | Internal Medicine | 14642 Newport Ave Ste 101, Tustin, CA 92780-6058 | 2005-06-08 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225407596 | Tustin Urgent Care, Apc | Clinic/Center | 17612 E. 17th St, Tustin, CA 92780-1937 | 2015-09-17 |
| 1356955736 | Sentinel Care Medical Group Inc | Clinic/Center | 17400 Irvine Blvd Ste N, Tustin, CA 92780-3030 | 2020-09-03 |
| 1588028666 | Radiant Physician Group | Clinic/Center | 18231 Irvine Blvd, Suite 204, Tustin, CA 92780-3432 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556440 | Cottage Clinical Network LLC | Clinic/Center | 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 | 2020-10-21 |
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503519 | We Care Urgent Care LLC | Clinic/Center | 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 | 2020-09-17 |
| 1114531035 | Q & M Physician Assistant Corporation | Clinic/Center | 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 | 2020-09-08 |
| 1568070662 | Atlas Urgent Care Corporation | Clinic/Center | 5531 Business Park S, Bakersfield, CA 93309-1668 | 2020-07-15 |
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1124643911 | Cottage Clinical Network, LLC | Clinic/Center | 3970 Broad St, San Luis Obispo, CA 93401-7097 | 2020-06-08 |
| 1861017659 | Cottage Clinical Network, LLC | Clinic/Center | 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.