Individual provider Active NPI

Tracy Hope Zivin-Tutela, MD

  • Infectious Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1841230646
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C159109 Issued in CA
Practice address
11037 Warner Ave Ste 265
Fountain Valley, CA 92708-4007
Phone
(732) 705-7506
Fax
(470) 313-6152
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X C159109 CA Primary

Addresses

Primary practice location

11037 Warner Ave Ste 265
Fountain Valley, CA 92708-4007

Mailing address

11037 Warner Ave Ste 265
Fountain Valley, CA 92708-4007
Phone (732) 672-1486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605001474 CA Practitioner - Infectious Disease 4082657432 Reassigns benefits to 1 organization
Practice locations: Fountain Valley, CA; Los Alamitos, CA

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Hospital Cir
Westminster, CA 92683-3910
Phone (732) 705-7506

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C159109CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Zivin-Tutela MD Infectious Disease CurrentSince Jan 30, 2019 Accepting new patients
Rocco Tutela Jr M D Inc PastSince Apr 21, 2024 Accepting new patients

Locations

3334 Pacific Coast Hwy
Corona del Mar, CA 92625
Phone (949) 631-4890

11037 Warner Ave
Ste 265
Fountain Valley, CA 92708
Phone (732) 672-1486

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1841230646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE STE 265",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "732-672-1486",
            "fax_number": "470-313-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE STE 265",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "732-705-7506",
            "fax_number": "470-313-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVIN-TUTELA",
        "first_name": "TRACY",
        "middle_name": "HOPE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "C159109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.