OrganizationActive
Tustin Longevity Center
NPI 1023558210 · Preferred Provider Organization · Tustin, CA
Tustin Longevity Center is a Preferred Provider Organization organization in Tustin, CA (NPI 1023558210).
Provider details
- NPI number
- 1023558210
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Rita Ellithorpe, Medical Director(714) 544-1521
- License
- G83575 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13422 Newport Ave
Suite L
Tustin, CA 92780-3746
Phone: (714) 544-1521
Street-level locationGet directions
Mailing address
13422 Newport Ave
Tustin, CA 92780-3746
Registry dates
- Enumerated
- 2017-03-07
- Last updated
- 2017-03-07
Frequently asked questions
- What is Tustin Longevity Center's NPI number?
- Tustin Longevity Center's National Provider Identifier (NPI) is 1023558210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tustin Longevity Center?
- Tustin Longevity Center is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Tustin Longevity Center located?
- Tustin Longevity Center's practice location on file with NPPES is 13422 Newport Ave, Tustin, CA 92780-3746.
- What is Tustin Longevity Center's phone number?
- The practice phone number listed in the NPPES registry for Tustin Longevity Center is (714) 544-1521.
- Who is the authorized official for Tustin Longevity Center?
- The authorized official listed on Tustin Longevity Center's NPPES record is Rita Ellithorpe, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tustin Longevity Center's NPI active?
- Yes — Tustin Longevity Center's NPI (1023558210) is active in the NPPES registry as of the last update on 2017-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.