COMPREHENSIVE HEALTH CARE SPECIALISTS MEDICAL GROUP, INC (NPI# 1083903496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083903496 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE HEALTH CARE SPECIALISTS MEDICAL GROUP, INC |
Practice Address |
13522 Newport Ave Suite 102 Tustin CA 92780-3707 |
Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
Practice Telephone | 7143525800 |
Mailing Telephone | 3104749809 |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |
Authorized Official Name | ROBERT SCHREIMAN (CEO) |
Authorized Official Telephone | 7143525800 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | COMPREHENSIVE HEALTH CARE SPECIALISTS MEDICAL GROUP, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Street Address |
13522 NEWPORT AVE SUITE 102 |
City | TUSTIN |
State | CA |
Zip Code | 92780-3707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760594097 | Simon Y. Chang | Family Medicine | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2006-08-31 |
1629421102 | Aditaim Lopez Martinez | Nurse Practitioner | 13522 Newport Ave, Unit 200, Tustin, CA 92780-3707 | 2016-07-19 |
1174975882 | Mobile Dentistry of Ca Inc | Durable Medical Equipment & Medical Supplies | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2016-07-06 |
1780989509 | Orange County Hospice, LLC | Hospice Care, Community Based | 13522 Newport Ave, Suite 200, Tustin, CA 92780-3707 | 2011-01-26 |
1659450054 | Chest and Critical Care Consultants | Internal Medicine | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2006-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639444292 | Miguel Dominguez Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 18102 Irvine Blvd, Ste 208, Tustin, CA 92780-3402 | 2012-03-15 |
1972812139 | Tustin Place Medical Group | Non-Pharmacy Dispensing Site | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2010-10-05 |
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1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.