NPIMap

Organization Active NPI

Garvin Group

  • Clinic/Center
  • Tustin, CA
National Provider Identifier
1386977296
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GARVIN GROUP
Practice address
15455 Red Hill Ave Ste a
Tustin, CA 92780-7313
Phone
(714) 258-7196
Fax
(714) 258-7199
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Lynda Cooper, RN
Title
Director
Phone
(714) 258-7196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15455 Red Hill Ave Ste a
Tustin, CA 92780-7313

Mailing address

15455 Red Hill Ave Ste a
Tustin, CA 92780-7313
Phone (714) 258-7196

Other names 1

  • Passport Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dawn M Terashita PC32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1386977296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 RED HILL AVE STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807313",
            "telephone_number": "714-258-7196",
            "fax_number": "714-258-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 RED HILL AVE STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807313",
            "telephone_number": "714-258-7196",
            "fax_number": "714-258-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVIN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-258-7196",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "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 Sep 9, 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.

Verify at the official NPI Registry.