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TUSTIN LONGEVITY CENTER
NPI 1023558210
Preferred Provider Organization in Tustin, CA

Active since March 07, 2017
13422 NEWPORT AVE, SUITE L, TUSTIN, CA 92780(714) 544-1521 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tustin Longevity Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUSTIN LONGEVITY CENTER (NPI 1023558210) is a healthcare organization registered as a preferred provider organization in Tustin, California and active in the NPI registry since March 2017. The organization lists Rita R Ellithorpe, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023558210
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameTUSTIN LONGEVITY CENTER
Location Address13422 NEWPORT AVE, SUITE LTustin, CA 92780-3746
Mailing Address13422 Newport Ave, Suite LTustin, CA 92780-3746 · (714) 544-1521
Phone(714) 544-1521
Organization SubpartNo
Authorized OfficialRita R EllithorpeMedical Director · (714) 544-1521
Enumeration DateMarch 7, 2017
✔ NPI 1023558210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · G83575
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
13422 NEWPORT AVE, Tustin, CA 92780
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Other Identifiers 1

Medicare UPING83575CA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RITA RENEE ELLITHORPE M.D.
General Practice
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
TUSTIN TELERADIOLOGY MEDICAL GROUP INC.
Radiologic Technologist (Radiography)
13422 NEWPORT AVE, SUITE I
TUSTIN, CA 92780
Orange County (714) 665-6900
DR. THOMAS L ATLAS MD
Radiologic Technologist (Radiography)
13422 NEWPORT AVE, SUITE I
TUSTIN, CA 92780
Orange County (714) 665-6900
TUSTIN LONGEVITY CENTER
Family Medicine
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
DR. CYNDEE AYSON MITCHELL M.D.
Obstetrics & Gynecology (Gynecology)
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Orange County (714) 544-1521
DR. MAUREEN ROBERTA DORNAN D.D.S.
Dentist (General Practice)
13422 NEWPORT AVE, STE B
TUSTIN, CA 92780
Orange County (714) 544-2020
DR. SANDI E SILVA DDS
Dentist (General Practice)
13422 NEWPORT AVE, SUITE A
TUSTIN, CA 92780
Orange County (714) 544-5883
BIGDELI DDS INC
Dentist (General Practice)
13422 NEWPORT AVE, E
TUSTIN, CA 92780
Orange County (714) 665-0005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tustin Longevity Center's NPI number?

The NPI number for Tustin Longevity Center is 1023558210. It was assigned to this organization in the NPPES registry on March 7, 2017.

Where is Tustin Longevity Center located?

Tustin Longevity Center is located at 13422 Newport Ave Suite L, Tustin, CA 92780. The listed phone number is (714) 544-1521.

What is Tustin Longevity Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Tustin Longevity Center was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.