Active NPI
Tustin Hospital and Medical Center
- General Acute Care Hospital
- Tustin, CA
National Provider Identifier
1811059223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- HSP43375
- Legal business name
- TUSTIN HOSPITAL AND MEDICAL CENTER
- Practice address
- 14662 Newport Ave
Tustin, CA 92780-6064 - Phone
- (714) 669-5874
- NPI assigned
- Dec 14, 2006
- 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
- Aiman Ahdab
- Title
- Pharmacy Director
- Phone
- (714) 669-5874
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | HSP43375 | CA | |
| General Acute Care Hospital | 282N00000X | HSP43375 | CA | Primary |
Addresses
Primary practice location
14662 Newport Ave
Tustin, CA 92780-6064
Mailing address
14662 Newport Ave
Tustin, CA 92780-6064
Phone (714) 669-5874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHB433750 | Medicaid | CA |
Other names 1
- Tustin Hospital and Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Tustin Hospital and Medical Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Tustin, CA
- NPI 1437304391
-
- Long Term Care Pharmacy
- Tustin, CA
- NPI 1578684395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1811059223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14662 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806064",
"telephone_number": "714-669-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14662 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806064",
"telephone_number": "714-669-5874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSTIN HOSPITAL AND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "AHDAB",
"authorized_official_first_name": "AIMAN",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "714-669-5874"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "CA",
"license": "HSP43375",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "HSP43375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHB433750",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tustin Hospital and Medical Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tustin, CA
- Tustin Hospital and Medical Center
- Tustin Hospital and Medical Center
- Tustin Hospital and Medical Center
- Tustin Hospital and Medical Center
- Tustin Hospital and Medical Center
- Tustin Irvine Internal Medicine Group Inc.
- Tustin Longevity Center
- Tustin Longevity Center
- Tustin Pharmacy, Inc.
- Tustin Physical Therapy Specialists, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.