Organization Active NPI

Healthcare Partners Affiliates Medical Group

Doing business as Optum

  • Addiction Medicine (Internal Medicine) Physician
  • Tustin, CA
National Provider Identifier
1891981502
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Doing business as
Optum
Practice address
14591 Newport Ave
Tustin, CA 92780-6001
Phone
(714) 442-4864
NPI assigned
Sep 18, 2007
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mrs. Rebecca D. Schaumburg
Title
Administrative Assistant
Phone
(310) 525-3869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X Primary

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 1

  • Optum Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0990839Healthcare Partners Affiliates14591 Newport Ave, Tustin, CA 92780Provider-performed microscopySep 3, 2027

National Provider Directory

National Provider Directory

Locations

17051 Sierra Lakes Pkwy
Ste 103
Fontana, CA 92336
Phone (909) 770-1000

30281 Golden Lantern
Laguna Niguel, CA 92677
Phone (858) 788-4040

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

25210 Crenshaw Blvd
Ste 100
Torrance, CA 90505
Phone (310) 602-2700

Practitioners & affiliated clinicians

Practitioners 526

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 526

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1891981502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040400",
            "telephone_number": "310-525-3869",
            "fax_number": "310-783-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806001",
            "telephone_number": "714-442-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHAUMBURG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "310-525-3869",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.