Active NPI
Healthcare Partners Affiliates Medical Group
Doing business as Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- 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, 2021
- 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
- Mrs. Rebecca D. Schaumburg
- Title
- Administrative Assistant
- Phone
- (310) 525-3869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
O20031204001258
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0990839 | Healthcare Partners Affiliates | Provider-performed microscopy | Sep 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1891021531
-
- Family Nurse Practitioner
- San Diego, CA
- NPI 1518935790
-
- Pediatrics Physician
- Rialto, CA
- NPI 1447206073
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1023116563
-
- Physician Assistant
- Arcadia, CA
- NPI 1023340379
-
- Family Medicine Physician
- Canoga Park, CA
- NPI 1235234873
-
- Orthopaedic Surgery Physician
- Rancho Cucamonga, CA
- NPI 1760882781
-
- Endocrinology, Diabetes & Metabolism Physician
- Redlands, CA
- NPI 1225423353
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1376992107
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Glendora, CA
- NPI 1457352783
-
- Nurse Practitioner
- Redlands, CA
- NPI 1558983536
-
- Family Nurse Practitioner
- Rancho Cucamonga, CA
- NPI 1578326740
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.