MEMORIAL RESEARCH MEDICAL CLINIC
NPI 1720256415
Internal Medicine in Tustin, CA

Q: What is Memorial Research Medical Clinic's NPI number?

The NPI number for Memorial Research Medical Clinic is 1720256415. It was assigned to this organization in the NPPES registry on February 14, 2008.

Q: What is Memorial Research Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 14, 2008CLIA 05D0991875 · Waiver

14351 MYFORD RD, SUITE B, TUSTIN, CA 92780(714) 550-9990(714) 210-7087 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Memorial Research Medical Clinic NPPES

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

MEMORIAL RESEARCH MEDICAL CLINIC (NPI 1720256415) is a healthcare organization registered as an internal medicine in Tustin, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Joel M Neutel, Med Director, as its authorized official.

NPPES Registry Identity

NPI1720256415

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEMORIAL RESEARCH MEDICAL CLINIC

Location Address14351 MYFORD RD, SUITE BTustin, CA 92780-7045

Mailing Address14351 Myford Rd, Suite BTustin, CA 92780-7045 · (714) 550-9990 · Fax (714) 210-7087

Phone(714) 550-9990

Fax(714) 210-7087

Organization SubpartNo

Authorized OfficialJoel M NeutelMed Director · (714) 550-9990

Enumeration DateFebruary 14, 2008

Last NPPES UpdateJuly 30, 2008

✔ NPI 1720256415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A50551

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

14351 MYFORD RD, Tustin, CA 92780

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Other Identifiers 2

OtherA50551CA · License No

Medicare PINW13555ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Memorial Research Medical Clinic 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 Memorial Research Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joel Neutel, MD

Internal Medicine

NPI 1730163965

14351 MYFORD RD SUITE B
Tustin, CA 92780

(714) 550-9990

✔ 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.

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 05D0991875

Memorial Research Medical Clinic Orange County Research Center · Lake Forest, CA

Active · expires Sep 30, 2027

CLIA Number05D0991875

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorJoel M. Neutel MD

Laboratory Phone(714) 550-9990

Laboratory LocationMemorial Research Medical Clinic Orange County Research Center25381 Commercentre Dr, Lake Forest, CA 92630

CLIA data matches this NPI record on: 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 Memorial Research Medical Clinic's NPI number?

The NPI number for Memorial Research Medical Clinic is 1720256415. It was assigned to this organization in the NPPES registry on February 14, 2008.

Where is Memorial Research Medical Clinic located?

Memorial Research Medical Clinic is located at 14351 Myford Rd Suite B, Tustin, CA 92780. The listed phone number is (714) 550-9990.

What is Memorial Research Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Memorial Research Medical Clinic enrolled in Medicare?

Yes. Memorial Research Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Research Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Memorial Research Medical Clinic. 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.

Does Memorial Research Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0991875) is associated with this NPI, valid through September 30, 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 Memorial Research Medical Clinic was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.