SAINT YOUSTINA NPI 1144937350

NPI Information

  • NPI: 1144937350
  • Provider Name: SAINT YOUSTINA
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 2200 HARBOR BLVD STE B240
    COSTA MESA, CA
    ZIP 92627
  • Phone: (714) 290-6269

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NPI Details

SAINT YOUSTINA is a federally qualified health center (fqhc) clinic center in Costa Mesa, CA. SAINT YOUSTINA NPI is 1144937350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 HARBOR BLVD STE B240
COSTA MESA, CA
ZIP 92627-875
Phone: (714) 290-6269

The provider's authorized official is Isaac Beshay .
The authorized official title is Ceo/cmo and has the following contact phone number (714) 290-6269.

The enumeration date for this NPI number is 10/28/2022 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14360542MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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