Organization Active NPI

Triumph Healthcare LLC

  • Adult Mental Health Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1407541626
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRIUMPH HEALTHCARE LLC
Practice address
27272 Delemos
Mission Viejo, CA 92692-3246
Phone
(949) 446-9973
Fax
(209) 297-4085
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Marcee Bustillos-Patrick
Title
Executive Director/Ceo
Phone
(949) 446-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

27272 Delemos
Mission Viejo, CA 92692-3246

Mailing address

30251 Golden Lantern Ste E415
Laguna Niguel, CA 92677-5993

Other names 1

  • Triumph Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1407541626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30251 GOLDEN LANTERN STE E415",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27272 DELEMOS",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923246",
            "telephone_number": "949-446-9973",
            "fax_number": "209-297-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "BUSTILLOS-PATRICK",
        "authorized_official_first_name": "MARCEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "949-446-9906"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumph Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.