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RENEW HEALTH MEDICAL CORPORATION
NPI 1629894324
Emergency Medicine in San Juan Capistrano, CA

Active since November 26, 2024
30230 RANCHO VIEJO RD STE 134, SAN JUAN CAPISTRANO, CA 92675(949) 503-1414 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renew Health Medical Corporation NPPES

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

RENEW HEALTH MEDICAL CORPORATION (NPI 1629894324) is a healthcare organization registered as an emergency medicine in San Juan Capistrano, California and active in the NPI registry since November 2024. The organization maintains a secondary practice location in Tustin and lists Tanya Dall, Owner, as its authorized official.

NPPES Registry Identity

NPI1629894324
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameRENEW HEALTH MEDICAL CORPORATION
Location Address30230 RANCHO VIEJO RD STE 134San Juan Capistrano, CA 92675-1585
Mailing Address146 Spur StRancho Mission Viejo, CA 92694-1614 · (949) 702-6736
Phone(949) 503-1414
Organization SubpartNo
Authorized OfficialTanya DallOwner · (949) 702-6736
Enumeration DateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1629894324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
30230 RANCHO VIEJO RD STE 134, San Juan Capistrano, CA 92675
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Other Names 1

Doing Business AsRenew Health Medical Corporation

Secondary Practice Location 1

Location 117581 Irvine Blvd Ste 114Tustin, CA 92780-3123 · Phone (949) 503-1414

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renew Health Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Renew Health Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tanya Dall, MD
Emergency Medicine
NPI 1932563533
30230 RANCHO VIEJO RD STE 134
San Juan Capistrano, CA 92675
(949) 702-6736
✔ PECOS✔ Accepts MedicareSame address

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

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 Renew Health Medical Corporation's NPI number?

The NPI number for Renew Health Medical Corporation is 1629894324. It was assigned to this organization in the NPPES registry on November 26, 2024.

Where is Renew Health Medical Corporation located?

Renew Health Medical Corporation is located at 30230 Rancho Viejo Rd Ste 134, San Juan Capistrano, CA 92675. The listed phone number is (949) 503-1414.

What is Renew Health Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Renew Health Medical Corporation enrolled in Medicare?

Yes. Renew Health Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Health Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Renew Health Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Renew Health Medical Corporation was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.