Active NPI
Bruce R Tammelin, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- A30439
- Practice address
- 510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664 - Phone
- (949) 764-8074
- Fax
- (949) 764-4241
- NPI assigned
- Jan 3, 2006
- Last updated
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A30439 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | A30439 | CA |
Addresses
Primary practice location
510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664
Mailing address
510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664
Phone (949) 764-8070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A304390 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Tennessee, HSC, College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
510 Superior Ave
Newport Beach, CA 92663-3663
Phone (949) 764-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30439 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Internal Medical Group, Inc. | Current | Accepting new patients | |
| Mission Internal Medical Group, Inc. | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
27451 Los Altos
Ste 100
Mission Viejo, CA 92691
27800 Medical Center Rd
Ste 210
Mission Viejo, CA 92691
Phone (714) 837-9610
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
26800 Crown Valley Pkwy
Ste 205
Mission Viejo, CA 92691
Phone (949) 364-3330
26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671
665 Camino de los Mares
Ste 210
San Clemente, CA 92673
Phone (949) 240-6772
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1902884174
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Hematology & Oncology Physician
- Orange, CA
- NPI 1801443510
-
dba Providence Mission Hospital
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1649443169
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1942288709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SUPERIOR AVE STE 200A",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633664",
"telephone_number": "949-764-8070",
"fax_number": "949-764-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SUPERIOR AVE STE 200A",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633664",
"telephone_number": "949-764-8074",
"fax_number": "949-764-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMMELIN",
"first_name": "BRUCE",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "A30439",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A30439",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A304390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.