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SANTA ANA TUSTIN PODIATRY CORPORATION
NPI 1689923716
Clinic/Center - Podiatric in Tustin, CA

Active since September 05, 2012
661 W 1ST ST STE D, TUSTIN, CA 92780(714) 265-5824(714) 384-3897 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Santa Ana Tustin Podiatry Corporation NPPES

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

SANTA ANA TUSTIN PODIATRY CORPORATION (NPI 1689923716) is a healthcare organization registered as a podiatric in Tustin, California and active in the NPI registry since September 2012. The organization lists Virgil Theodore Hernandez, President, as its authorized official.

NPPES Registry Identity

NPI1689923716
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameSANTA ANA TUSTIN PODIATRY CORPORATION
Location Address661 W 1ST ST STE DTustin, CA 92780-2939
Mailing Address661 W 1st St Ste DTustin, CA 92780-2939 · (714) 265-5824 · Fax (714) 384-3897
Phone(714) 265-5824
Fax(714) 384-3897
Organization SubpartNo
Authorized OfficialVirgil Theodore HernandezPresident · (714) 265-5824
Enumeration DateSeptember 5, 2012
Last NPPES UpdateOctober 3, 2014
✔ NPI 1689923716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
661 W 1ST ST STE D, Tustin, CA 92780
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Ana Tustin Podiatry 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 Santa Ana Tustin Podiatry Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Virgil Hernandez, D.P.M.
Podiatry
NPI 1659395598
801 N TUSTIN AVE SUITE #202
Santa Ana, CA 92705
(714) 265-5824
✔ PECOS0.5 mi

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 Santa Ana Tustin Podiatry Corporation's NPI number?

The NPI number for Santa Ana Tustin Podiatry Corporation is 1689923716. It was assigned to this organization in the NPPES registry on September 5, 2012.

Where is Santa Ana Tustin Podiatry Corporation located?

Santa Ana Tustin Podiatry Corporation is located at 661 W 1st St Ste D, Tustin, CA 92780. The listed phone number is (714) 265-5824.

What is Santa Ana Tustin Podiatry Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Santa Ana Tustin Podiatry Corporation enrolled in Medicare?

Yes. Santa Ana Tustin Podiatry Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Ana Tustin Podiatry Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Santa Ana Tustin Podiatry 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 Santa Ana Tustin Podiatry Corporation was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.