TUSTIN HOSPITAL AND MEDICAL CENTER
NPI 1578684395
Pharmacy - Long Term Care Pharmacy in Tustin, CA

Active since April 02, 2007
14662 NEWPORT AVE, TUSTIN, CA 92780(714) 669-5874(714) 669-2011 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tustin Hospital And Medical Center NPPES

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

TUSTIN HOSPITAL AND MEDICAL CENTER (NPI 1578684395) is a healthcare organization registered as a long term care pharmacy in Tustin, California and active in the NPI registry since April 2007. The organization lists Fareed Entezar, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1578684395
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameTUSTIN HOSPITAL AND MEDICAL CENTER
Location Address14662 NEWPORT AVETustin, CA 92780-6064
Mailing Address14662 Newport AveTustin, CA 92780-6064
Fax(714) 669-2011
Organization SubpartNo
Authorized OfficialFareed EntezarPharmacy Director · (714) 669-5874
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 18, 2009
NPI 1578684395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in CA · HSP43375
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
14662 NEWPORT AVE, Tustin, CA 92780

Other Names 1

Doing Business AsTustin Hospital And Medical Center

Other Identifiers 3

Other0555322Ncpdp Provider Identification Number
MedicaidPHB499750CA
MedicaidPHB433750CA

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.

Anesthesiology
14662 NEWPORT AVE
TUSTIN, CA 92780
General Acute Care Hospital
14662 NEWPORT AVE
TUSTIN, CA 92780
Radiology (Therapeutic Radiology)
14662 NEWPORT AVE
TUSTIN, CA 92780
Long Term Care Hospital
14662 NEWPORT AVE
TUSTIN, CA 92780
Anesthesiology
14662 NEWPORT AVE
TUSTIN, CA 92780
Emergency Medicine
14662 NEWPORT AVE
TUSTIN, CA 92780
Internal Medicine
14662 NEWPORT AVE
TUSTIN, CA 92780
Anesthesiology
14662 NEWPORT AVE
TUSTIN, CA 92780

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 Hospital And Medical Center's NPI number?

The NPI number for Tustin Hospital And Medical Center is 1578684395. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Tustin Hospital And Medical Center located?

Tustin Hospital And Medical Center is located at 14662 Newport Ave, Tustin, CA 92780. The listed phone number is (714) 669-5874.

What is Tustin Hospital And Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Tustin Hospital And Medical Center was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.