Active NPI
Prospice Medical Centers
- Clinic/Center
- Tustin, CA
National Provider Identifier
1043453897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PROSPICE MEDICAL CENTERS
- Practice address
- 14742 Newport Avenue
Suite 203
Tustin, CA 92780-6177 - Phone
- (949) 825-6416
- Fax
- (951) 537-6931
- NPI assigned
- Apr 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruthi Torres
- Title
- VP/Chief Operations Officer
- Phone
- (949) 825-6416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
14742 Newport Avenue
Suite 203
Tustin, CA 92780-6177
Mailing address
PO Box 25551
Santa Ana, CA 92799-5551
Phone (949) 825-6416
National Provider Directory
National Provider DirectoryLocations
2500 E Ball Rd
Fl 1
Anaheim, CA 92806
3183 Airway Ave
Ste 104F
Costa Mesa, CA 92626
1127 Wilshire Blvd
Ste 508
Los Angeles, CA 90017
Phone (213) 482-3648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562112000000",
"number": "1043453897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25551",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927995551",
"telephone_number": "949-825-6416",
"fax_number": "951-537-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14742 NEWPORT AVENUE",
"address_2": "SUITE 203",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806177",
"telephone_number": "949-825-6416",
"fax_number": "951-537-6931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPICE MEDICAL CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-09",
"last_updated": "2019-07-03",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "RUTHI",
"authorized_official_title_or_position": "VP/CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "949-825-6416"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.