PASSPORT HEALTH
NPI 1003232125
Preventive Medicine - Public Health & General Preventive Medicine in Tustin, CA

Active since March 13, 2014
15455 RED HILL AVENUE, SUITE A, TUSTIN, CA 92780(714) 258-7196(877) 877-6875 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 25, 2022, Mar 18, 2016 (2 updates tracked since 2016).

  • Organization
  • Preventive Medicine
  • Public Health & General Preventive Medic...

About PASSPORT HEALTH

This page provides the complete NPI Profile along with additional information for Passport Health, a provider established in Tustin, California operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1003232125 assigned on March 2014. The practitioner's primary taxonomy code is 2083P0901X with license number 261Q0000X (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Passport Health. The authorized official of this NPI record is Mr. Paul Fishburn (Chief Operating Officer)

NPI
1003232125 Verify this NPI
Provider Legal Name
DAWN M. TERASHITA, PC
Other Organization Name
PASSPORT HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15455 RED HILL AVENUE SUITE A TUSTIN, CA 92780
Location Phone
(714) 258-7196
Location Fax
(877) 877-6875
Mailing Address
668 N 44TH ST SUITE 100W PHOENIX, AZ 85008
Mailing Phone
(877) 358-8648
Mailing Fax
(877) 877-6875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2014
Last Update Date
05-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
License No.
261Q0000X
License State
CA
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PAUL FISHBURN

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(480) 646-9020

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003232125, enumerated as an "organization" on March 13, 2014.

The provider is located at 15455 RED HILL AVENUE SUITE A TUSTIN, CA 92780 and the phone number is (714) 258-7196.

Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.