INTEGRITY HEALTHCARE PROVIDERS, PC (NPI# 1629500665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629500665 |
Entity Type | Organization |
Organization Name | INTEGRITY HEALTHCARE PROVIDERS, PC |
Other Organization Name | OC MEDICAL TUSTIN |
Practice Address |
14642 Newport Ave Suite 270 Tustin CA 92780-6057 |
Practice Telephone | 7144426642 |
Practice Fax Number | 7144426652 |
Mailing Telephone | 7144426642 |
Mailing Fax Number | 7144426652 |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-30 |
Authorized Official Name | ARTURO PORTALES (OWNER) |
Authorized Official Telephone | 7144426642 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
OC Medical Tustin | Doing Business As Name - Organization |
Street Address |
14642 NEWPORT AVE SUITE 270 |
City | TUSTIN |
State | CA |
Zip Code | 92780-6057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174594386 | Los Angeles Radiation Oncology Medical Associates | Radiology | 14642 Newport Ave, #470, Tustin, CA 92780-6057 | 2006-01-27 |
1619443835 | Fareed Entezar | Pharmacist | 14642 Newport Ave, Tustin, CA 92780-6057 | 2018-10-15 |
1033662101 | Tariq Ali Khan Md | Internal Medicine | 14642 Newport Ave, Suite 408, Tustin, CA 92780-6057 | 2016-07-25 |
1558740753 | Medical Exam Assoicates | Chiropractor | 14642 Newport Ave, #407, Tustin, CA 92780-6057 | 2015-05-21 |
1205229382 | Trilogy Eye Medical Group, Inc. | Optometrist | 14642 Newport Ave, Suite 210, Tustin, CA 92780-6057 | 2015-03-12 |
1003174368 | Charles Minh | Anesthesiology | 14642 Newport Ave, Suite #100, Tustin, CA 92780-6057 | 2012-04-24 |
1851684237 | Sharron Krueger | Nurse Practitioner | 14642 Newport Ave, Suite 200, Tustin, CA 92780-6057 | 2011-05-18 |
1588981120 | Smith-burke Podiatry | Podiatrist | 14642 Newport Ave, Suite 105, Tustin, CA 92780-6057 | 2010-04-21 |
1427281666 | Stephen William Doggett, M.d. Pa | Radiology | 14642 Newport Ave, Tustin, CA 92780-6057 | 2009-09-03 |
1114153582 | Vir, Inc. | Specialist | 14642 Newport Ave, Suite 410, Tustin, CA 92780-6057 | 2009-05-29 |
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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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902166085 | Beacon Medical Management LLC | General Practice | 13372 Newport Ave Ste I, Tustin, CA 92780-3426 | 2012-05-22 |
1629267687 | W. Robert Crumpton, M.d. | General Practice | 14642 Newport Ave Ste 200, Tustin, CA 92780-6058 | 2007-10-16 |
1801099445 | Robert Earl Dreibelbis | General Practice | 13420 Newport Ave, Suite # D, Tustin, CA 92780 | 2007-06-11 |
1407879646 | Jamshid Maleki | General Practice | 13152 Newport Ave, Suite B, Tustin, CA 92780-3469 | 2006-07-26 |
1306848809 | Rita Renee Ellithorpe | General Practice | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2005-08-15 |
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1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.