ALTA NEWPORT HOSPITAL, INC. (NPI# 1689096406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689096406 |
| Entity Type | Organization |
| Organization Name | ALTA NEWPORT HOSPITAL, INC. |
| Other Organization Name | FOOTHILL REGIONAL MEDICAL CENTER |
| Practice Address |
14662 Newport Ave Tustin CA 92780-6064 |
| Mailing Address |
10780 Santa Monica Blvd Suite 400 Los Angeles CA 90025-4749 |
| Practice Telephone | 7146197700 |
| Practice Fax Number | 7146197724 |
| Mailing Telephone | 3109434500 |
| Mailing Fax Number | 3109434501 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
060000178 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Foothill Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043632938 | Alta Newport Hospital, Inc. | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-01-10 |
| Street Address |
14662 NEWPORT AVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-6064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881641462 | Southern California Acute Care Physicians | Emergency Medicine | 14662 Newport Ave, Tustin, CA 92780-6064 | 2006-05-28 |
| 1386018356 | Can Emergency Physicians Medical Group Inc | Emergency Medicine | 14662 Newport Ave, Tustin, CA 92780-6064 | 2015-11-13 |
| 1588070767 | Hien Nguyen | Social Worker | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-07-08 |
| 1043632938 | Alta Newport Hospital, Inc. | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-01-10 |
| 1568803583 | Performance Medical Inc | Anesthesiology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2013-07-08 |
| 1184984429 | Pacific Anesthesiology A Medical Corporation | Anesthesiology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2012-05-21 |
| 1700171501 | Oc Path Medical Group | Pathology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2011-06-09 |
| 1063657138 | Tustin Hospital and Medical Center | Long Term Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-12-03 |
| 1437304391 | Tustin Hospital and Medical Center | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-11-19 |
| 1942450747 | Edgar Z. Cosme, M.d., Inc. | Anesthesiology | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-09-29 |
| 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 | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043385982 | Tustin Hospital and Medical Center | Skilled Nursing Facility | 14662 Newport Avenue, Tustin, CA 92780 | 2006-11-22 |
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|---|---|---|---|---|
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| 1023551264 | Eden Care Center | Skilled Nursing Facility | 7616 Pacific Blvd, Huntington Park, CA 90255-6026 | 2016-11-21 |
| 1740736198 | Corwin Kids Healthcare Inc | Skilled Nursing Facility | 18747 Corwin Rd, Apple Valley, CA 92307-2303 | 2016-08-26 |
| 1073914412 | Crosspeaks Services, Inc. | Skilled Nursing Facility | 1350 Teal Hollow Dr, Yuba City, CA 95993-8885 | 2014-09-04 |
| 1669886230 | Centennial Healthcare LLC | Skilled Nursing Facility | 7504 Capps Ave, Reseda, CA 91335-2710 | 2014-06-11 |
| 1851660682 | George Nobuhiko Tobo | Skilled Nursing Facility | 16423 Harbor Blvd, Fountain Valley, CA 92708-1367 | 2011-12-22 |
| 1427348424 | Bridge 2 Life Healthcare, Inc. | Skilled Nursing Facility | 1331 Addison Way, Perris, CA 92571-3878 | 2011-04-11 |
| 1033417167 | Wee Hearts | Skilled Nursing Facility | 10049 Magnolia Blvd, 539, N Hollywood, CA 91606 | 2011-03-15 |
| 1720300783 | Kidz Kingdom Pdhc | Skilled Nursing Facility | 13022 Sherman Way, North Hollywood, CA 91605-4955 | 2010-02-18 |
| 1285884411 | Twins Services and Training Center | Skilled Nursing Facility | 22910 Teil Glen Rd, Wildomar, CA 92595-8099 | 2008-09-24 |
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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.