Organization Active NPI

Tustin Hospital and Medical Center

  • General Acute Care Hospital
  • Tustin, CA
National Provider Identifier
1811059223
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HSP43375 Issued in CA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHB433750MedicaidCA

Other names 1

  • Tustin Hospital and Medical Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Tustin Hospital and Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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

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.

Verify at the official NPI Registry.