Ear Nose Throat MD Inc.
NPI 1972166452 · Otolaryngology Physician · Tustin, CA
Ear Nose Throat MD Inc. is a Otolaryngology Physician organization in Tustin, CA (NPI 1972166452).
Provider details
- NPI number
- 1972166452
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenny Braganza, Credentialing Manager(562) 341-4786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2019-04-19
- Last updated
- 2019-04-19
Frequently asked questions
- What is Ear Nose Throat MD Inc.'s NPI number?
- Ear Nose Throat MD Inc.'s National Provider Identifier (NPI) is 1972166452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ear Nose Throat MD Inc.?
- Ear Nose Throat MD Inc. is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Ear Nose Throat MD Inc. located?
- Ear Nose Throat MD Inc.'s practice location on file with NPPES is 2552 Walnut Ave Ste 130, Tustin, CA 92780-6970.
- What is Ear Nose Throat MD Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ear Nose Throat MD Inc. is (714) 847-9677.
- Who is the authorized official for Ear Nose Throat MD Inc.?
- The authorized official listed on Ear Nose Throat MD Inc.'s NPPES record is Jenny Braganza, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ear Nose Throat MD Inc.'s NPI active?
- Yes — Ear Nose Throat MD Inc.'s NPI (1972166452) is active in the NPPES registry as of the last update on 2019-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.