MEMORIALCARE MEDICAL FOUNDATION (NPI# 1043515281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043515281 |
| Entity Type | Organization |
| Organization Name | MEMORIALCARE MEDICAL FOUNDATION |
| Practice Address |
15 Mareblu # 100 Aliso Viejo CA 92656-3015 |
| Mailing Address |
2742 Dow Ave Tustin CA 92780-7242 |
| Practice Telephone | 9494480656 |
| Mailing Telephone | 7146651600 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Authorized Official Name | MR. JOHN SOMERS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7146651600 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTH SERVICES |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972910115 | Memorialcare Medical Foundation | Non-Pharmacy Dispensing Site | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2014-07-21 |
| 1932525433 | Memorialcare Medical Foundation | Non-Pharmacy Dispensing Site | 2110 N Bellflower Blvd, Long Beach, CA 90815-3126 | 2014-03-10 |
| 1770881666 | Memorialcare Medical Foundation | Internal Medicine | 23512 Madero, Mission Viejo, CA 92691-2743 | 2011-03-02 |
| 1376841254 | Memorialcare Medical Foundation | Internal Medicine | 11420 Warner Ave, Fountain Valley, CA 92708-2529 | 2011-03-02 |
| 1982901906 | Memorialcare Medical Foundation | Internal Medicine | 29472 Ave De Las Banderas, Rancho Santa Margarita, CA 92688-2651 | 2011-02-28 |
| 1295032985 | Memorialcare Medical Foundation | Internal Medicine | 250 E Yale Loop, Suite 200, Irvine, CA 92604-4697 | 2011-02-16 |
| 1427355122 | Memorialcare Medical Foundation | Internal Medicine | 30300 Rancho Viejo Rd, San Juan Capistrano, CA 92675-1576 | 2011-02-16 |
| 1912204611 | Memorialcare Medical Foundation | Physician Assistant | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2011-02-16 |
| 1316244015 | Memorialcare Medical Foundation | Physician Assistant | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2011-02-16 |
| 1205131448 | Memorialcare Medical Foundation | Internal Medicine | 3010 W Orange Ave, #302, Anaheim, CA 92804-3169 | 2011-01-19 |
| Street Address |
15 MAREBLU # 100 |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009586 | Terence R Offenberger | Internal Medicine | 15 Mareblu, Ste. 100, Aliso Viejo, CA 92656-3015 | 2005-11-03 |
| 1255718763 | Judith Ann Miller | Acupuncturist | 15 Mareblu, Suite 310, Aliso Viejo, CA 92656-3015 | 2015-05-04 |
| 1669859526 | Peter Jungwirth,m.d.,inc | Clinic/Center | 15 Mareblu, Suite 350, Aliso Viejo, CA 92656-3015 | 2015-04-29 |
| 1386060606 | Karen H Fu Md, Inc | Family Medicine | 15 Mareblu, Suite 310, Aliso Viejo, CA 92656-3015 | 2014-03-11 |
| 1790111573 | Silvia Soledad Vallis | Dentist | 15 Mareblu, Suite 380, Aliso Viejo, CA 92656 | 2013-09-24 |
| 1780946525 | William E Wang | Dentist | 15 Mareblu, Suite 320, Aliso Viejo, CA 92656-3015 | 2012-06-07 |
| 1437481249 | Gregory Reed Cummings | Dentist | 15 Mareblu, Suite 210, Aliso Viejo, CA 92656-3015 | 2010-02-03 |
| 1619125770 | Clark Pediatrics and Family Medicine Inc | Specialist | 15 Mareblu, Suite 340, Aliso Viejo, CA 92656-3015 | 2008-09-03 |
| 1639325616 | Samuel H. Yee Dds Inc | Dentist | 15 Mareblu, Suite 300, Aliso Viejo, CA 92656 | 2008-08-11 |
| 1851584718 | Aliso Park Dental | Dentist | 15 Mareblu, Suite #320, Aliso Viejo, CA 92656-3015 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
| Find all providers in zip 92656 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225695422 | Concertohealth of Ohio LLC | Family Medicine | 85 Enterprise Ste 200, Aliso Viejo, CA 92656-2614 | 2019-05-22 |
| 1629562954 | Trucare Medical Center Inc. | Family Medicine | 24541 Pacific Park Dr Ste 109, Aliso Viejo, CA 92656-3050 | 2018-06-20 |
| 1033493424 | Kahesha Franklin | Family Medicine | 7214 City Lights Dr, Aliso Viejo, CA 92656 | 2011-10-04 |
| 1124166541 | Sam S Elias | Family Medicine | 26671 Aliso Creek Rd Ste 306, Aliso Viejo, CA 92656-4808 | 2007-02-01 |
| 1083707608 | Sina Firouzi | Family Medicine | 26741 Aliso Creek Rd Ste F, Aliso Viejo, CA 92656 | 2006-10-02 |
| 1295841294 | Jim W Lam Md Prof Corp | Family Medicine | 27068 La Paz Rd, #454, Aliso Viejo, CA 92656-3041 | 2006-08-22 |
| 1215913876 | Kory Lee Tuominen | Family Medicine | 26671 Aliso Creek Rd, Suite 304, Aliso Viejo, CA 92656-4809 | 2005-12-15 |
| 1417938630 | Patrick S Thompson | Family Medicine | 26538 Moulton Pkwy Ste 38e, Aliso Viejo, CA 92653 | 2005-11-07 |
| 1104818491 | Alexander Thermos | Family Medicine | 125 Columbia, Ste A, Aliso Viejo, CA 92656-4101 | 2005-08-22 |
| 1942620471 | Hq Physical Medicine Corp. | Family Medicine | 125 Columbia, Suite A, Aliso Viejo, CA 92656 | 2014-04-23 |
| Find all providers in ALISO VIEJO | ||||
| City | ALISO VIEJO |
| Zip Code | 92656 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.