CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP

Provider Demographics

• NPI: 1598852717
• Name: CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP
• Entity Type: Organization
• Organization Name: CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP
• Other - Org Name: FAMILY HEALTH CENTER OF TUSTIN
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: SR. MANAGING PARTNER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: DEVANG
• Authorized Official - Middle Name: MANUBHAI
• Authorized Official - Last Name: SAVANI
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 714-836-6800
• Mailing Address - Street 1: PO BOX 15090
• Mailing Address - City: ANAHEIM
• Mailing Address - State: CA
• Mailing Address - Zip Code: 92803-5090
• Mailing Address - Country: US
• Mailing Address - Phone: 714-577-2124
• Mailing Address - Fax: 714-577-2125
• Practice Address - Street 1: 1211 W LA PALMA AVE STE 404
• Practice Address - City: ANAHEIM
• Practice Address - State: CA
• Practice Address - Zip Code: 92801-2806
• Practice Address - Country: US
• Practice Address - Phone: 714-772-8282
• Practice Address - Fax: 714-772-6493
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2006-10-08
• Last Update Date: 2022-03-01

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Single Specialty
No	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine	Group - Single Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Single Specialty
No	207RS0012X	Allopathic & Osteopathic Physicians	Internal Medicine	Sleep Medicine	Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Single Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LA2100X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Acute Care	Group - Multi-Specialty
No	363LA2200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Adult Health	Group - Multi-Specialty
No	363LC0200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Critical Care Medicine	Group - Multi-Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty
No	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Primary Care	Group - Multi-Specialty
No	364SG0600X	Physician Assistants & Advanced Practice Nursing Providers	Clinical Nurse Specialist	Gerontology	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	GR0025650	Medicaid
CA	GR0025650	Medicaid