Western Medical Center Trauma Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTERN MEDICAL CENTER TRAUMA GROUP INC

Practice address

1001 Tustin Ave
Santa Ana, CA 92705

Phone

(714) 530-3270

NPI assigned

Oct 2, 2006

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Kwan

Title

Manager

Phone

(626) 768-4415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265525935. Details of each certification follow.

• CCN 050065 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050065

Legal name

WESTERN MEDICAL CENTER

Certification status

Terminated Voluntary: merger or closure, Mar 8, 2005

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Nov 10, 1999

Beds

296

Ownership / control type

Other

Most recent change of ownership

Mar 8, 2005 (1 total)

Facility address

1001 N Tustin Avenue
Santa Ana, CA 92705

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William F Davis, MD

  • Specialist
  • Santa Ana, CA
  • NPI 1013909225
  Medicare reassignment Care Compare group NPD
• Christopher Troy Lane, MD

  • Trauma Surgery Physician
  • Santa Ana, CA
  • NPI 1598736779

  Specialist

  Medicare reassignment Care Compare group NPD
• Frank Carl Nastanski, M.D.

  • Surgery Physician
  • Santa Ana, CA
  • NPI 1295702843
  Medicare reassignment Care Compare group NPD
• Humberto Sauri, MD

  • Specialist
  • Santa Ana, CA
  • NPI 1144212309
  Medicare reassignment Care Compare group NPD
• Jin Wen Sui, MD

  • Trauma Surgery Physician
  • Santa Ana, CA
  • NPI 1114411352

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Cindy Lee, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1760616098
  Medicare reassignment Care Compare group
• Sherry A Burchell, MD

  • Surgery Physician
  • Santa Ana, CA
  • NPI 1720048200
  Medicare reassignment NPD
• Tenley K Lawton, MD

  • Plastic Surgery Physician
  • Irvine, CA
  • NPI 1689689044
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1265525935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927813428",
            "telephone_number": "714-289-1559",
            "fax_number": "714-289-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-530-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL CENTER TRAUMA GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-768-4415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.