Active NPI
Lois Guest Home Inc.
- Assisted Living Facility
- Tustin, CA
National Provider Identifier
1366393100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LOIS GUEST HOME INC.
- Practice address
- 17562 Medford Ave
Tustin, CA 92780-1922 - Phone
- (714) 573-7697
- NPI assigned
- Feb 6, 2026
- 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
- Louie Dormido
- Title
- Licensee
- Phone
- (714) 573-7697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
17562 Medford Ave
Tustin, CA 92780-1922
Mailing address
17562 Medford Ave
Tustin, CA 92780-1922
Phone (714) 573-7697
Other names 1
- Lois Guest Home II
National Provider Directory
National Provider Directory- Tax ID family
- Lois Guest Home II
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Tustin, CA
- NPI 1972454718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770336000000",
"number": "1366393100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17562 MEDFORD AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801922",
"telephone_number": "714-573-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17562 MEDFORD AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801922",
"telephone_number": "714-573-7697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOIS GUEST HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-06",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A",
"authorized_official_last_name": "DORMIDO",
"authorized_official_first_name": "LOUIE",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "714-573-7697"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lois Guest Home II",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.