Healthcare Partners Affiliates Medical Group
Organization Active NPI Addiction Medicine (Internal Medicine) Physician · Tustin, CA
NPI 1891981502 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1891981502
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Internal Medicine) Physician 207RA0401X
- Legal business name
- HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
- Practice address
- 14591 Newport Ave
Tustin, CA 92780-6001 - Phone
- (714) 442-4864
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rebecca D. Schaumburg
- Title
- Administrative Assistant
- Phone
- (310) 525-3869
Other NPIs on the same Medicare enrollment 1
Practitioners 526
-
Pedram Shawn Abdian, M,D,
-
Olga M. Adan, M.D.
-
Reshma Gulati Aggarwal, M.D.
-
Anjali Agrawal, P.A.
-
Fernando Aguirre, M.D.
-
Kofi Agyeman, M.D.
-
Chukwuka Akamnonu, M.D.
-
Oluwatoyin Akintujoye, M.D.
-
Amaka Lauretta Anyaoha, NURSE PRACTITIONER
-
Rosa Theresa Artola, D.O.
-
Mark Christopher Asbill, M.D.
-
Aleen Avakian, M.D.
-
Elizabeth Alison Avakoff, DO, MPH
-
Vladimir Ayvazyan, M.D.
-
Steve Aziz, M.D.
-
Karen Babel, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0990839 | Healthcare Partners Affiliates | Provider-performed microscopy | Sep 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204001258 | CA | Part B Supplier - Clinic/Group Practice | 7315842002 |
Receives reassigned benefits from 2,253 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
55 S Raymond Ave
Ste 200
Alhambra, CA 91801
Phone (626) 570-8005
130 W Route 66
Ste 208
Glendora, CA 91740
Phone (626) 335-4079
15775 Laguna Canyon Rd
Ste 210
Irvine, CA 92618
Phone (949) 222-9158
23595 Moulton Pkwy
Ste E
Laguna Hills, CA 92653
Phone (949) 218-0853
30281 Golden Lantern
Laguna Niguel, CA 92677
Phone (858) 788-4040
259 Terracina Blvd
Redlands, CA 92373
Phone (909) 328-5400
601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811
3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658
23430 Hawthorne Blvd
Ste 105
Torrance, CA 90505
Phone (310) 465-2451
14591 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | Yes |
Addresses
Primary practice location
14591 Newport Ave
Tustin, CA 92780-6001
Mailing address
PO Box 6400
Torrance, CA 90504-0400
Phone (310) 525-3869
Other names
- Optum
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- Healthright 360
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- Hearing Care Oc
- Michelle Heater
All providers in Tustin, CA · Addiction Medicine (Internal Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.