TUSTIN HOSPITAL AND MEDICAL CENTER (NPI# 1811059223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811059223 |
| Entity Type | Organization |
| Organization Name | TUSTIN HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | TUSTIN HOSPITAL AND MEDICAL CENTER |
| Practice Address |
14662 Newport Ave Tustin CA 92780-6064 |
| Practice Telephone | 7146695874 |
| Mailing Telephone | 7146695874 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AIMAN AHDAB (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7146695874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 282E00000X | Long Term Care Hospital | HSP43375 | CA | Hospitals |
| X | 282N00000X | General Acute Care Hospital | HSP43375 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHB433750 | 05 |
| Other Name | Type Code |
|---|---|
| Tustin Hospital and Medical Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689743601 | Tustin Hospital and Medical Center | General Acute Care Hospital | 14662 Newport Avenue, Tustin, CA 92780 | 2006-11-06 |
| 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 |
| 1043385982 | Tustin Hospital and Medical Center | Skilled Nursing Facility | 14662 Newport Avenue, Tustin, CA 92780 | 2006-11-22 |
| 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 |
| 1689096406 | Alta Newport Hospital, Inc. | Skilled Nursing Facility | 14662 Newport Ave, Tustin, CA 92780-6064 | 2014-01-14 |
| 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 |
| 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 | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766282 | Odedra Enterprises, Inc. | Long Term Care Hospital | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2019-08-22 |
| 1063916534 | Labri, Inc | Long Term Care Hospital | 26491 Aracena Dr, Mission Viejo, CA 92691-5101 | 2018-03-20 |
| 1194118554 | Raquel Cabrera | Long Term Care Hospital | 662 Kempton St, Spring Valley, CA 91977-5016 | 2015-03-10 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1922363209 | Valley Medical Center | Long Term Care Hospital | 21490 Columbus Ave, Cupertino, CA 95014-4971 | 2012-07-12 |
| 1679848808 | Therapists Unlimited | Long Term Care Hospital | 367 Eastridge Dr, San Ramon, CA 94582-4912 | 2012-03-21 |
| 1134493463 | Centinela Hospital Medical Center | Long Term Care Hospital | 120 South Reno St Unit 347, Los Angeles, CA 90057 | 2012-03-05 |
| 1891086914 | Divine Medical Supply, Incorporated | Long Term Care Hospital | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-04-23 |
| 1215247978 | Knd Development 53, L.L.C. | Long Term Care Hospital | 1246 W. 155th St, Gardena, CA 90247-4011 | 2010-10-15 |
| 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.