COMPLETE CARE FAMILY MEDICINE (NPI# 1558566364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558566364 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE FAMILY MEDICINE |
| Practice Address |
26800 Crown Valley Parkway Suite 435 Mission Viejo CA 92691 |
| Practice Telephone | 9495423838 |
| Practice Fax Number | 9495423839 |
| Mailing Telephone | 9495423838 |
| Mailing Fax Number | 9495423839 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARCELA I DOMINGUEZ (OWNER) |
| Authorized Official Telephone | 9495423838 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
A64090 | CA | Dietary & Nutritional Service Providers |
| X | 305S00000X | Point of Service | A64090 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144320003 | Complete Care Family Medicine | Family Medicine | 357 N Main St, Butler, PA 16001-4917 | 2006-09-22 |
| Street Address |
26800 CROWN VALLEY PARKWAY SUITE 435 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799096 | Magdy T Nawar | Internal Medicine | 26800 Crown Valley Parkway, Suite 485, Mission Viejo, CA 92691 | 2006-09-13 |
| 1154538403 | Jeffrey Scott Montgomery | Dentist | 26800 Crown Valley Parkway, Suite 405, Mission Viejo, CA 92691 | 2007-05-17 |
| 1619184967 | Elham Khajavi | Dentist | 26800 Crown Valley Parkway, Suite 405, Mission Viejo, CA 92691 | 2007-05-17 |
| 1760604045 | Georg Kiriak | Dentist | 26800 Crown Valley Parkway, Suite 405, Mission Viejo, CA 92691 | 2007-05-03 |
| 1437378841 | Drs. Montgomery & Kiriak, Apc | Dentist | 26800 Crown Valley Parkway, Suite 405, Mission Viejo, CA 92691 | 2007-04-24 |
| 1124241575 | Al Shyste Manesh | Dentist | 26800 Crown Valley Parkway, Suite 425, Mission Viejo, CA 92691 | 2007-04-11 |
| 1962595009 | Leila Ahmadi | Optometrist | 26800 Crown Valley Parkway, Suite #308, Mission Viejo, CA 92691-8050 | 2006-10-02 |
| 1013012244 | Misson Ob/gyn Medical Group, Inc. | Obstetrics & Gynecology | 26800 Crown Valley Parkway, Suite 525, Mission Viejo, CA 92691-8029 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404155 | Victoria Zhukova Shemer | Nutritionist | 39 Calypso, Irvine, CA 92618-1519 | 2020-10-10 |
| 1306444658 | Califia Suntree | Nutritionist | 3812 Jo Ann Dr, Sacramento, CA 95821-3819 | 2020-10-09 |
| 1538772520 | Alicia Manley | Nutritionist | 198 Berk Pl, Richmond, CA 94804-4219 | 2020-08-28 |
| 1780295089 | Autumn Beam | Nutritionist | 1437 N Los Robles Ave, Pasadena, CA 91104-2140 | 2020-08-11 |
| 1689292815 | Jodi Ann Sutherland | Nutritionist | 54910, Pine Crest Avenue, Idyllwild, CA 92549-9254 | 2020-07-14 |
| 1407471410 | Joyce Peters | Nutritionist | 9465 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2624 | 2020-06-15 |
| 1114542883 | Kim Evans | Nutritionist | 101 Gregory Ln Ste 25, Pleasant Hill, CA 94523-4915 | 2020-06-09 |
| 1013539717 | Susan Astrid Blanc | Nutritionist | 2303 Camino Ramon # 208, San Ramon, CA 94583-1392 | 2020-05-15 |
| 1245869445 | Janel Anderson | Nutritionist | 10865 Whitehorse Rd # 5, Truckee, CA 96161-1428 | 2020-04-08 |
| 1154958130 | Lonnele Ball | Nutritionist | 69 Northampton Ave, Berkeley, CA 94707-1714 | 2020-03-26 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on COMPLETE CARE FAMILY MEDICINE.
| 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.