TUSTIN HOSPITAL AND MEDICAL CENTER (NPI# 1689743601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689743601 |
| Entity Type | Organization |
| Organization Name | TUSTIN HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | NEWPORT SPECIALTY HOSPITAL |
| Practice Address |
14662 Newport Avenue Tustin CA 92780 |
| Practice Telephone | 7146197700 |
| Practice Fax Number | 9497324671 |
| Mailing Telephone | 7146197700 |
| Mailing Fax Number | 9497324671 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | MS. CLARA RUTH BLOM (VP/HOSPITAL CFO) |
| Authorized Official Telephone | 3104638273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSD30720F | 05 | |
| CA | HSP40720F | 05 | |
| CA | HSC30720F | 05 |
| Other Name | Type Code |
|---|---|
| Newport Specialty Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1578684395 | Tustin Hospital and Medical Center | Pharmacy | 14662 Newport Ave, Tustin, CA 92780-6064 | 2007-04-02 |
| 1811059223 | Tustin Hospital and Medical Center | Long Term Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2006-12-14 |
| 1043385982 | Tustin Hospital and Medical Center | Skilled Nursing Facility | 14662 Newport Avenue, Tustin, CA 92780 | 2006-11-22 |
| Street Address |
14662 NEWPORT AVENUE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043385982 | Tustin Hospital and Medical Center | Skilled Nursing Facility | 14662 Newport Avenue, Tustin, CA 92780 | 2006-11-22 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497102610 | Michael Tran | General Acute Care Hospital | 2955 Champion Way, 291, Tustin, CA 92782-1243 | 2016-05-17 |
| 1043632938 | Alta Newport Hospital, Inc. | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-01-10 |
| 1437304391 | Tustin Hospital and Medical Center | General Acute Care Hospital | 14662 Newport Ave, Tustin, CA 92780-6064 | 2008-11-19 |
| 1700048824 | Mobile Monitoring, Inc. | General Acute Care Hospital | 17602 17th St, Suite#102 Pmb#224, Tustin, CA 92780-1961 | 2008-06-30 |
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| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| 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.