Active NPI
Assist Medical Services
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
National Provider Identifier
1104222371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- ASSIST MEDICAL SERVICES
- Practice address
- 1431 Warner Ave Ste a
Tustin, CA 92780-6444 - Phone
- (509) 945-9977
- Fax
- (509) 873-0049
- NPI assigned
- Nov 14, 2014
- 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
- Abhijit G. Deshpande, MD
- Title
- Owner
- Phone
- (509) 945-9977
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
1431 Warner Ave Ste a
Tustin, CA 92780-6444
Mailing address
16606 Camilia Ave
Tustin, CA 92782-1908
Phone (509) 945-9977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604-029-053 | Other | WA | BUSINESS LICENSE |
| 2071609 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1431 Warner Ave
Ste A
Tustin, CA 92780
Phone (509) 945-9977
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Internal Medicine) Physician
- Santa Rosa, CA
- NPI 1326018821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1104222371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16606 CAMILIA AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821908",
"telephone_number": "509-945-9977",
"fax_number": "509-469-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 WARNER AVE STE A",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806444",
"telephone_number": "509-945-9977",
"fax_number": "509-873-0049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSIST MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-14",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "DESHPANDE",
"authorized_official_first_name": "ABHIJIT",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-945-9977",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS LICENSE",
"identifier": "604-029-053",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2071609",
"state": "WA"
}
],
"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 Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.