Renew Health Medical Corporation
NPI 1629894324 · Emergency Medicine Physician · San Juan Capistrano, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renew Health Medical Corporation is a Emergency Medicine Physician organization in San Juan Capistrano, CA (NPI 1629894324).
Provider details
- NPI number
- 1629894324
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tanya Dall, Owner(949) 702-6736
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Renew Health Medical Corporation
Additional practice locations (1)
- 17581 Irvine Blvd Ste 114Tustin, CA 92780-3123Phone: (949) 503-1414
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is Renew Health Medical Corporation's NPI number?
- Renew Health Medical Corporation's National Provider Identifier (NPI) is 1629894324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Health Medical Corporation?
- Renew Health Medical Corporation is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renew Health Medical Corporation located?
- Renew Health Medical Corporation's practice location on file with NPPES is 30230 Rancho Viejo Rd Ste 134, San Juan Capistrano, CA 92675-1585.
- What is Renew Health Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Renew Health Medical Corporation is (949) 503-1414.
- Does Renew Health Medical Corporation accept Medicare?
- Renew Health Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renew Health Medical Corporation?
- The authorized official listed on Renew Health Medical Corporation's NPPES record is Tanya Dall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Health Medical Corporation's NPI active?
- Yes — Renew Health Medical Corporation's NPI (1629894324) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.