Active NPI
Tustin Hospital and Medical Center
- Long Term Care Hospital
- Tustin, CA
National Provider Identifier
1063657138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 052053
- Legal business name
- TUSTIN HOSPITAL AND MEDICAL CENTER
- Practice address
- 14662 Newport Ave
Tustin, CA 92780-6064 - Phone
- (714) 669-5832
- Fax
- (714) 669-5986
- NPI assigned
- Dec 3, 2008
- 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
- Ronnell Richard
- Title
- Asst. Director of PFS
- Phone
- (714) 669-5832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 052053 | CA | Primary |
Addresses
Primary practice location
14662 Newport Ave
Tustin, CA 92780-6064
Mailing address
14662 Newport Ave
Tustin, CA 92780-6064
Phone (714) 669-5832
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231372800000",
"number": "1063657138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14662 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806064",
"telephone_number": "714-669-5832",
"fax_number": "714-669-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14662 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806064",
"telephone_number": "714-669-5832",
"fax_number": "714-669-5986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSTIN HOSPITAL AND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-03",
"last_updated": "2009-01-08",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "RONNELL",
"authorized_official_title_or_position": "ASST. DIRECTOR OF PFS",
"authorized_official_telephone_number": "714-669-5832"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "CA",
"license": "052053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
- 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
- Tustin Irvine Internal Medicine Group Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.