Tustin Hospital and Medical Center

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

TUSTIN HOSPITAL AND MEDICAL CENTER

Practice address

14662 Newport Avenue
Tustin, CA 92780

Phone

(714) 619-7700

Fax

(949) 732-4671

NPI assigned

Nov 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Clara Ruth Blom IX

Title

VP/Hospital Cfo

Phone

(310) 463-8273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Newport Specialty Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1043385982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14662 NEWPORT AVENUE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-619-7700",
            "fax_number": "949-732-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 NEWPORT AVENUE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-619-7700",
            "fax_number": "949-732-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "VP/HOSPITAL CFO",
        "authorized_official_telephone_number": "310-463-8273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "IX"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC40006F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tustin Audiology, Inc.
• Tustin Community Pharmacy Inc
• Tustin Elite Chiropractic
• Tustin Family Chiropractic
• Tustin Group Inc.
• Tustin Hospital and Medical Center
• Tustin Hospital and Medical Center
• Tustin Hospital and Medical Center
• Tustin Hospital and Medical Center
• Tustin Hospital and Medical Center

• Pediatric Skilled Nursing Facility in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.