Organization Active NPI

Kabacare Tustin Ca PC

  • Infusion Therapy Clinic/Center
  • Tustin, CA
National Provider Identifier
1093572489
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
KABACARE TUSTIN CA PC
Practice address
3002 Dow Ave Ste 104
Tustin, CA 92780-7247
Phone
(888) 658-9081
Fax
(714) 689-4953
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Dr. Saima Firdoos, MD
Title
Authorized Official
Phone
(888) 658-9081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

3002 Dow Ave Ste 104
Tustin, CA 92780-7247

Mailing address

17777 Center Court Dr N Ste 550
Cerritos, CA 90703-9337
Phone (800) 435-3020

National Provider Directory

National Provider Directory

Locations

3002 Dow Ave
Ste 104
Tustin, CA 92780
Phone (714) 665-1121

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1093572489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 CENTER COURT DR N STE 550",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039337",
            "telephone_number": "800-435-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 DOW AVE STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807247",
            "telephone_number": "888-658-9081",
            "fax_number": "714-689-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABACARE TUSTIN CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "FIRDOOS",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "888-658-9081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "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 Mar 1, 2024; 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.