HURTT FAMILY HEALTH CLINIC INC. (NPI# 1306965587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306965587 |
| Entity Type | Organization |
| Organization Name | HURTT FAMILY HEALTH CLINIC INC. |
| Practice Address |
1 Hope Drive Tustin CA 92782-0221 |
| Practice Telephone | 7142470300 |
| Practice Fax Number | 7142591598 |
| Mailing Telephone | 7142470300 |
| Mailing Fax Number | 7142591598 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | MS. BECKY CARTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7142478044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM70904F | 05 |
| Other Name | Type Code |
|---|---|
| ORANGE COUNTY RESCUE MISSION HEALTH CARE SERVICES, INC. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144760943 | Hurtt Family Health Clinic Inc. | Clinic/Center | 947 S Anaheim Blvd Ste 260, Anaheim, CA 92805-5591 | 2017-02-28 |
| Street Address |
1 HOPE DRIVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-0221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489665 | Friends of Family Health Center | Clinic/Center | 13152 Newport Ave, Suite B, Tustin, CA 92780-3469 | 2015-06-17 |
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| Find all providers with the same taxonomy | ||||
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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.