QHP A PROFESSIONAL CORPORATION
NPI 1053187187
Clinic/Center - Health Service in Santa Ana, CA

Active since November 29, 2023CLIA 05D2299564 · Waiver
210 N TUSTIN AVE, SANTA ANA, CA 92705(888) 959-5192 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Qhp A Professional Corporation NPPES

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

QHP A PROFESSIONAL CORPORATION (NPI 1053187187) is a healthcare organization registered as a health service in Santa Ana, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Theresa Henry, President, as its authorized official.

NPPES Registry Identity

NPI1053187187
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameQHP A PROFESSIONAL CORPORATION
Location Address210 N TUSTIN AVESanta Ana, CA 92705-3807
Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (888) 959-5192
Organization SubpartNo
Authorized OfficialTheresa HenryPresident · (888) 959-5192
Enumeration DateNovember 29, 2023
Last NPPES UpdateApril 10, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1053187187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
210 N TUSTIN AVE, Santa Ana, CA 92705

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Qhp A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Qhp A Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1972266286
1971 E 4TH ST STE 200
Santa Ana, CA 92705
(888) 959-5192
✔ PECOS0.3 mi
Emergency Medicine
NPI 1730269978
UCI MEDICAL CENTER 101 THE CITY DRIVE SOUTH
Orange, CA 92868
(714) 456-2986
✔ PECOS✔ Accepts Medicare4.3 mi
Emergency Medicine
NPI 1225236516
5870 ARLINGTON AVE
Riverside, CA 92504
(951) 683-6596
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1003911892
29738 RANCHO CALIFORNIA RD SUITE B
Temecula, CA 92591
(951) 308-1822
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1104490333
14735 VENTURA BLVD
Sherman Oaks, CA 91403
(818) 788-0208
✔ PECOS45 mi
Emergency Medicine
NPI 1457370397
38107 POTATO CANYON RD
Oak Glen, CA 92399
(909) 790-5176
✔ PECOS54 mi
Nurse Practitioner
NPI 1003497223
1011 LOCKHEED WAY
Palmdale, CA 93599
(661) 572-2190
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1710415625
4010 FOOTHILLS BLVD STE 102
Roseville, CA 95747
(916) 689-4111
✔ PECOS396 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2299564

Qhp A Professional Corporation · Santa Ana, CA
Active · expires Feb 21, 2028
CLIA Number05D2299564
Laboratory TypePublic Health Laboratories
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorJohn Jones
Laboratory Phone(888) 959-5192
Laboratory LocationQhp A Professional Corporation210 N Tustin Ave, Santa Ana, CA 92705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Qhp A Professional Corporation's NPI number?

The NPI number for Qhp A Professional Corporation is 1053187187. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Qhp A Professional Corporation located?

Qhp A Professional Corporation is located at 210 N Tustin Ave, Santa Ana, CA 92705. The listed phone number is (888) 959-5192.

What is Qhp A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Qhp A Professional Corporation enrolled in Medicare?

Yes. Qhp A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Qhp A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Qhp A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Emergency Medicine (3) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Qhp A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2299564) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Qhp A Professional Corporation was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.