Organization Active NPI

William H Nuesse M D and Mary Ann Nuesse D O a Medical Corporation

  • Clinic/Center
  • Orange, CA
National Provider Identifier
1508994088
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILLIAM H NUESSE M D AND MARY ANN NUESSE D O A MEDICAL CORPORATION
Practice address
867 S Tustin St
Orange, CA 92866-3426
Phone
(714) 771-1420
Fax
(714) 771-6918
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Dr. William H. Nuesse, M.D.NPI 1952360729
Title
Medical Director
Phone
(714) 771-1420

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

867 S Tustin St
Orange, CA 92866-3426

Mailing address

867 S Tustin St
Orange, CA 92866-3426
Phone (714) 771-1420

Other names 1

  • Sunrise Multispecialist Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000604 CA Part B Supplier - Clinic/Group Practice 0143257659 Receives reassigned benefits from 3 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

883 S Tustin St
Orange, CA 92866
Phone (714) 771-1420

867 S Tustin St
Orange, CA 92866
Phone (714) 771-1420

2492 Walnut Ave
Ste 110
Tustin, CA 92780
Phone (714) 669-1997

Practitioners & affiliated clinicians

Practitioners 3

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1508994088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663426",
            "telephone_number": "714-771-1420",
            "fax_number": "714-771-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663426",
            "telephone_number": "714-771-1420",
            "fax_number": "714-771-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H NUESSE M D AND MARY ANN NUESSE D O A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "NUESSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-771-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Multispecialist Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.