MISSION INTERNAL MEDICAL GROUP, INC. (NPI# 1750369708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750369708 |
Entity Type | Organization |
Organization Name | MISSION INTERNAL MEDICAL GROUP, INC. |
Practice Address |
27871 Medical Center Rd Suite 200 Mission Viejo CA 92691-6404 |
Mailing Address |
26522 La Alameda Suite 120 Mission Viejo CA 92691-6330 |
Practice Telephone | 9493478314 |
Practice Fax Number | 9493645427 |
Mailing Telephone | 9492821671 |
Mailing Fax Number | 9493670518 |
Enumeration Date | 2006-01-09 |
Last Update Date | 2010-05-24 |
NPI Deactivation Date | 02/06/2007 |
NPI Reactivation Date | 2007-10-05 |
Authorized Official Name | MR. DENNIS A WOLIN (CEO) |
Authorized Official Telephone | 9492821617 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
060000510 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | SUR01415F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154697837 | Mission Internal Medical Group, Inc. | Anesthesiology | 27871 Medical Center Rd, Suite 200, Mission Viejo, CA 92691-6404 | 2012-03-28 |
1649443169 | Mission Internal Medical Group, Inc. | Physical Therapist | 27882 Forbes Rd, Suite 110, Laguna Niguel, CA 92677-1267 | 2008-04-04 |
1902884174 | Mission Internal Medical Group, Inc. | Clinic/Center | 26800 Crown Valley Pkwy, #100, Mission Viejo, CA 92691-6306 | 2006-01-06 |
Street Address |
27871 MEDICAL CENTER RD SUITE 200 |
City | MISSION VIEJO |
State | CA |
Zip Code | 92691-6404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992780688 | Ronald N. Adamany | Internal Medicine | 27871 Medical Center Rd, Suite 200, Mission Viejo, CA 92691-6404 | 2005-12-14 |
1508244294 | Joseph W Wilson | Dentist | 27871 Medical Center Rd, Suite 280, Mission Viejo, CA 92691-6404 | 2015-05-13 |
1063842987 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 27871 Medical Center Rd, Ste 140, Mission Viejo, CA 92691 | 2013-11-13 |
1154697837 | Mission Internal Medical Group, Inc. | Anesthesiology | 27871 Medical Center Rd, Suite 200, Mission Viejo, CA 92691-6404 | 2012-03-28 |
1811273667 | Alexander Prattes Md LLC | General Practice | 27871 Medical Center Rd, Suite 160, Mission Viejo, CA 92691-6404 | 2011-10-25 |
1851617211 | Courtney Lynne Jones | Pediatrics | 27871 Medical Center Rd, Suite 140, Mission Viejo, CA 92691 | 2010-04-10 |
1093037061 | Nahid Birjandi Podiatric Inc | Clinic/Center | 27871 Medical Center Rd, Suite 130, Mission Viejo, CA 92691-6334 | 2010-02-18 |
1497923544 | Joseph W Wilson Dds Ma Inc | Dentist | 27871 Medical Center Rd, Ste 280, Mission Viejo, CA 92691-6440 | 2008-02-12 |
1376733238 | Negah Parsangi Dds Inc | Dentist | 27871 Medical Center Rd, Suite 165, Mission Viejo, CA 92691-6404 | 2007-07-27 |
1225234636 | Rama Ghaem Maghami | Dentist | 27871 Medical Center Rd, Suite 165, Mission Viejo, CA 92691-6404 | 2007-06-22 |
Find all providers in the same location |
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 | 261QE0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Endoscopy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598024713 | Gastroenterology and Endoscopy Institute of Orange County | Clinic/Center | 26732 Crown Valley Pkwy, Suite 241, Mission Viejo, CA 92691-6306 | 2012-05-08 |
1417008707 | Ocige Inc | Clinic/Center | 26732 Crown Valley Pkwy, Suite 241, Mission Viejo, CA 92691-6306 | 2007-01-15 |
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1518592021 | First Surgery Center, Inc. | Clinic/Center | 31625 De Portola Rd Ste 102, Temecula, CA 92592-2770 | 2020-03-04 |
1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
1619181765 | Lee & Bae Gi Medical Corporation | Clinic/Center | 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010-1307 | 2007-05-09 |
1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
1336247642 | Pasadena Endoscopy Center Inc | Clinic/Center | 55 W Valley St, Pasadena, CA 91105-2015 | 2006-09-20 |
1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
Find all providers with the same taxonomy |
City | MISSION VIEJO |
Zip Code | 92691 |
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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.