Premier Wellness Medical Center
NPI 1114179892 · Physical Therapist · Tustin, CA
Premier Wellness Medical Center is a Physical Therapist organization in Tustin, CA (NPI 1114179892).
Provider details
- NPI number
- 1114179892
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kevin DO, President(818) 288-2757
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2008-10-14
- Last updated
- 2008-10-20
Frequently asked questions
- What is Premier Wellness Medical Center's NPI number?
- Premier Wellness Medical Center's National Provider Identifier (NPI) is 1114179892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Wellness Medical Center?
- Premier Wellness Medical Center is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Premier Wellness Medical Center located?
- Premier Wellness Medical Center's practice location on file with NPPES is 14191 Newport Ave, Tustin, CA 92780.
- What is Premier Wellness Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Premier Wellness Medical Center is (714) 508-7333.
- Who is the authorized official for Premier Wellness Medical Center?
- The authorized official listed on Premier Wellness Medical Center's NPPES record is Kevin DO, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Wellness Medical Center's NPI active?
- Yes — Premier Wellness Medical Center's NPI (1114179892) is active in the NPPES registry as of the last update on 2008-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.