Organization Active NPI

Enhance Health Group, LLC

  • Adult Mental Health Clinic/Center
  • Tustin, CA
National Provider Identifier
1053919423
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ENHANCE HEALTH GROUP, LLC
Practice address
14742 Newport Ave Ste 208
Tustin, CA 92780-6177
Phone
(833) 903-3334
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Ms. Christina Khouie, MANPI 1750932182
Title
Founder
Phone
(833) 903-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

14742 Newport Ave Ste 208
Tustin, CA 92780-6177

Mailing address

14742 Newport Ave Ste 208
Tustin, CA 92780-6177

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2287687Enhance Health Group14742 Newport Ave Suite 208, Tustin, CA 92780Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

14742 Newport Ave
Ste 208
Tustin, CA 92780
Phone (833) 903-3334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1053919423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14742 NEWPORT AVE STE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14742 NEWPORT AVE STE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806177",
            "telephone_number": "833-903-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KHOUIE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "833-903-3334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.