Entrust Medical Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENTRUST MEDICAL CORPORATION

Practice address

1140 W la Veta Ave
Ste. 520
Orange, CA 92868-4225

Phone

(714) 543-2000

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Robert Del Junco, M.D.NPI 1295734721

Title

President

Phone

(714) 543-2000

Specialties & licenses 1

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJFCD

Practitioners 10

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.

• Robert Del Junco, M.D.

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1295734721
  Medicare reassignment Care Compare group NPD Authorized official
• Faramarz Alizadeh-Shabdiz, M.D

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1790955052
  Medicare reassignment Care Compare group NPD
• Michael Del Junco

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1679063127
  Medicare reassignment Care Compare group NPD
• Edward Su-Chong Lee, M.D.

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1114926672
  Medicare reassignment Care Compare group NPD
• William Frank Pearce, M.D.

  • Urology Physician
  • Santa Ana, CA
  • NPI 1730293838
  Medicare reassignment Care Compare group NPD
• Hari Prashant Sawkar, MD

  • Urology Physician
  • Orange, CA
  • NPI 1063855625
  Medicare reassignment Care Compare group NPD
• Navin Purushottam Amin, M.D.

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1851390314
  NPD (past)
• Roberto Limgenco Barretto, M.D.

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1477552941
  NPD (past)
• Simon Joseph Madorsky, M.D.

  • Otolaryngology Physician
  • Newport Beach, CA
  • NPI 1447259981
  NPD (past)
• Luca Vassalli, M.D.

  • Otolaryngology Physician
  • Escondido, CA
  • NPI 1467451880
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1922090372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5971",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635971",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "STE. 520",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-543-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRUST MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "DEL JUNCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-543-2000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ04646Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ05312Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ04648Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ05316Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093360",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093362",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ05313Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ05314Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "GR0093362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ04650Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ04647Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ04649Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ05315Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ05317Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel Isabella Enriquez
• Rosa I Enriquez
• Whitney M. Enriquez
• Kathryn Enslow
• Christina Mariah Entner
• Brittany Eppler
• Marcy Wohl Epstein, NP
• Equilibrium Speech Therapy Inc
• Era Hospice,Inc.
• Samantha Hope Era

• Otolaryngology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.