TUSTIN AUTISM SERVICES FOR KIDS (NPI# 1770839086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770839086 |
| Entity Type | Organization |
| Organization Name | TUSTIN AUTISM SERVICES FOR KIDS |
| Practice Address |
661 W 1st St Ste E Tustin CA 92780-2939 |
| Practice Telephone | 7148382115 |
| Practice Fax Number | 7148384533 |
| Mailing Telephone | 7148382115 |
| Mailing Fax Number | 7148384533 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | LORENA A POST (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7148382115 |
| Authorized Official Credential | MA, CCC, SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
SP5043 | CA | Ambulatory Health Care Facilities |
| Street Address |
661 W 1ST ST STE E |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003933060 | Joanne D. Ortega | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2007-03-23 |
| 1013426493 | Robin Carter | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-09-28 |
| 1508385139 | Upward Bound Speech Therapy Services Inc | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-09-14 |
| 1760900617 | Nan Eller | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-08-30 |
| 1427581032 | Marina Marks | Specialist/Technologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-04-10 |
| 1174056774 | Nisma Rayan | Specialist/Technologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-04-10 |
| 1619337524 | Katherine Stapp | Behavioral Analyst | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2016-03-04 |
| 1235532599 | Tustin Speech Therapy, Inc | Clinic/Center | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-10-01 |
| 1891106266 | Richard Cao | Occupational Therapy Assistant | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-05-19 |
| 1306257548 | Tustin Speech Therapy, Inc | Occupational Therapy Assistant | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-05-09 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1467815241 | Uc Irvine Health Medical Group- Tustin, Fam Med | Clinic/Center | 1451 Irvine Blvd, Tustin, CA 92780-3804 | 2016-03-30 |
| 1194064311 | Robert S Young Md Inc | Clinic/Center | 13225 Jamboree Rd, Tustin, CA 92782-9158 | 2013-02-07 |
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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.