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UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN
NPI 1356731962
Clinic/Center - Health Service in Tustin, CA

Active since February 03, 2015CLIA 05D2098034 · Waiver
1451 IRVINE BLVD, TUSTIN, CA 92780(714) 838-8878(714) 838-8988 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Uc Irvine Health Specialty Clinic- Tustin NPPES

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

UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN (NPI 1356731962) is a healthcare organization registered as a health service in Tustin, California and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Roger L. Crumley, Interim President, as its authorized official.

NPPES Registry Identity

NPI1356731962
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameUC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN
Location Address1451 IRVINE BLVDTustin, CA 92780-3804
Mailing AddressPo Box 54509Los Angeles, CA 90054-0509 · (714) 456-6585 · Fax (714) 456-8101
Phone(714) 838-8878
Fax(714) 838-8988
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialRoger L. CrumleyInterim President · (714) 456-2986
Enumeration DateFebruary 3, 2015
Last NPPES UpdateOctober 21, 2015
✔ NPI 1356731962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1451 IRVINE BLVD, Tustin, CA 92780
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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 05D2098034

Uc Irvine Health Tustin Multi-Specialty · Tustin, CA
Active · expires Jun 28, 2027
CLIA Number05D2098034
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDonna G. Baick
Laboratory Phone(714) 581-6500
Laboratory LocationUc Irvine Health Tustin Multi-Specialty1451 Irvine Blvd, Tustin, CA 92780
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RENEE HEATHER BALLENTINE DO
Family Medicine
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 838-8878
DR. STEPHEN CHANG MD
Family Medicine
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 838-8878
AMANDA JOY HALL NP
Nurse Practitioner
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 838-8878
PAUL GENSER M.D.
Pediatrics
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 838-8878
JAMES P MORLEY M.D.
Pediatrics
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 838-8878
DR. CHRISTINA NICOLE KRAUS MD
Dermatology
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 838-8408
UNIVERSITY HEAD & NECK SURGEONS
Clinic/Center (Medical Specialty)
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 456-7017
UC IRVINE HEALTH SPECIALTY CLINIC- TUSTIN (UROLOGY)
Clinic/Center (Medical Specialty)
1451 IRVINE BLVD
TUSTIN, CA 92780
Orange County (714) 456-7005

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 Uc Irvine Health Specialty Clinic- Tustin's NPI number?

The NPI number for Uc Irvine Health Specialty Clinic- Tustin is 1356731962. It was assigned to this organization in the NPPES registry on February 3, 2015.

Where is Uc Irvine Health Specialty Clinic- Tustin located?

Uc Irvine Health Specialty Clinic- Tustin is located at 1451 Irvine Blvd, Tustin, CA 92780. The listed phone number is (714) 838-8878.

What is Uc Irvine Health Specialty Clinic- Tustin's specialty?

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

Does Uc Irvine Health Specialty Clinic- Tustin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2098034) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Uc Irvine Health Specialty Clinic- Tustin was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.