Organization Active NPI

Prospice Medical Centers

  • Clinic/Center
  • Tustin, CA
National Provider Identifier
1043453897
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jul 3, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.