DR. EDWIN E BREITENBACH M.D.
NPI 1871804187
Otolaryngology - Facial Plastic Surgery in Tustin, CA

Active since July 01, 2010PECOS Enrolled
2601 AUGUSTA, TUSTIN, CA 92782(714) 730-0087 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edwin E Breitenbach M.d. NPPES

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

DR. EDWIN E BREITENBACH M.D. (NPI 1871804187) is an individual facial plastic surgery provider in Tustin, California, licensed in California (GFE16157) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871804187
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. EDWIN E BREITENBACHCredential: M.D.
Location Address2601 AUGUSTATustin, CA 92782-1201
Mailing Address2601 AugustaTustin, CA 92782-1201 · (714) 730-0087
Sole ProprietorYes
Enumeration DateJuly 1, 2010
NPI 1871804187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in CA · GFE16157
Definition
An otolaryngologist who specializes in facial plastic surgery.
2601 AUGUSTA, Tustin, CA 92782

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edwin E Breitenbach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Edwin Breitenbach's NPI number?

The NPI number for Edwin Breitenbach is 1871804187. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Edwin Breitenbach located?

Edwin Breitenbach practices at 2601 Augusta, Tustin, CA 92782. The listed phone number is (714) 730-0087.

What is Edwin Breitenbach's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Edwin Breitenbach enrolled in Medicare?

Yes. Edwin Breitenbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Breitenbach was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.