Ear Nose Throat MD Inc.
NPI 1972166452ActiveOrganization· Otolaryngology· Tustin, CA
Otolaryngology in Tustin, California, registered in NPPES in April 2019. The authorized official on file is Jenny Braganza, Credentialing Manager.
Overview
| NPI | 1972166452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2019 |
| Last updated in NPPES | Apr 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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