ENTRUST MEDICAL CORPORATION
NPI 1922090372
Otolaryngology in Orange, CA

Active since August 19, 2005
1140 W LA VETA AVE, STE. 520, ORANGE, CA 92868(714) 543-2000 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Entrust Medical Corporation NPPES

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

ENTRUST MEDICAL CORPORATION (NPI 1922090372) is a healthcare organization registered as an otolaryngology in Orange, California and active in the NPI registry since August 2005. The organization lists Robert Del Junco, President, as its authorized official.

NPPES Registry Identity

NPI1922090372
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameENTRUST MEDICAL CORPORATION
Location Address1140 W LA VETA AVE, STE. 520Orange, CA 92868-4225
Mailing AddressPo Box 5971Orange, CA 92863-5971 · (714) 571-5000 · Fax (714) 571-5055
Organization SubpartNo
Authorized OfficialRobert Del JuncoPresident · (714) 543-2000
Enumeration DateAugust 19, 2005
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1922090372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1140 W LA VETA AVE, Orange, CA 92868

Other Identifiers 15

OtherDA0248Railroad Medicare
OtherZZZ04646ZBlue Shield Of Ca
OtherZZZ05312ZBlue Shield Of Ca
OtherZZZ04648ZBlue Shield Of Ca
OtherZZZ05316ZBlue Shield Of Ca
MedicaidGR0093360CA
MedicaidGR0093362CA
OtherZZZ05313ZBlue Shield Of Ca
OtherZZZ05314ZBlue Shield Of Ca
OtherGR0093362Caloptima
OtherZZZ04650ZBlue Shield Of Ca
OtherZZZ04647ZBlue Shield Of Ca
OtherZZZ04649ZBlue Shield Of Ca
OtherZZZ05315ZBlue Shield Of Ca
OtherZZZ05317ZBlue Shield Of Ca

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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Entrust Medical Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Otolaryngology
NPI 1790955052
1140 W LA VETA AVE SUITE 520
Orange, CA 92868
(714) 543-2000
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1295734721
1140 W LA VETA AVE STE. 520
Orange, CA 92868
(714) 543-2000
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1114926672
1140 W LA VETA AVE STE. 520
Orange, CA 92868
(714) 543-2000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1063855625
1140 W LA VETA AVE STE 520
Orange, CA 92868
(714) 543-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1679063127
1310 W STEWART DR STE 607
Orange, CA 92868
(714) 919-8141
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1730293838
801 N TUSTIN AVE STE 204
Santa Ana, CA 92705
(714) 450-1047
✔ PECOS2.6 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 Entrust Medical Corporation's NPI number?

The NPI number for Entrust Medical Corporation is 1922090372. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Entrust Medical Corporation located?

Entrust Medical Corporation is located at 1140 W La Veta Ave Ste. 520, Orange, CA 92868. The listed phone number is (714) 543-2000.

What is Entrust Medical Corporation's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Entrust Medical Corporation enrolled in Medicare?

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

How many clinicians bill Medicare through Entrust Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Entrust 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. The largest specialties are Otolaryngology (3), Urology (2) and Internal Medicine (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Entrust Medical Corporation was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.