MISSION INTERNAL MEDICAL GROUP, INC. (NPI# 1902884174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902884174 |
| Entity Type | Organization |
| Organization Name | MISSION INTERNAL MEDICAL GROUP, INC. |
| Practice Address |
26800 Crown Valley Pkwy #100 Mission Viejo CA 92691-6306 |
| Mailing Address |
26522 La Alameda Suite 120 Mission Viejo CA 92691-6330 |
| Practice Telephone | 9493646000 |
| Practice Fax Number | 9493649561 |
| Mailing Telephone | 9492821600 |
| Mailing Fax Number | 9493670518 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-05-24 |
| Authorized Official Name | MR. DENNIS WOLIN (CEO) |
| Authorized Official Telephone | 9492821600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0089532 | 05 | |
| CA | ZZZ71959Z | 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 |
| 1750369708 | Mission Internal Medical Group, Inc. | Clinic/Center | 27871 Medical Center Rd, Suite 200, Mission Viejo, CA 92691-6404 | 2006-01-09 |
| Street Address |
26800 CROWN VALLEY PKWY #100 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519559 | Kathleen Mary Pollock | Specialist | 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691-6384 | 2005-06-21 |
| 1295262806 | Sueann Ingersoll | Nurse Practitioner | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2017-05-12 |
| 1609308576 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 420, Mission Viejo, CA 92691-6384 | 2017-03-30 |
| 1023493459 | Hadi Mansoury Md Inc | Internal Medicine | 26800 Crown Valley Pkwy, Suite 475, Mission Viejo, CA 92691-6384 | 2015-07-28 |
| 1154765709 | Newport Children Medical Group At Mission | Pediatrics | 26800 Crown Valley Pkwy, Suite 460, Mission Viejo, CA 92691-6384 | 2013-04-25 |
| 1518301621 | Nina C Swadener | Internal Medicine | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2013-04-19 |
| 1386999050 | Shohreh Sameni | Hospitalist | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691 | 2012-07-19 |
| 1598024622 | Leila Ahmadi Od, Apc, An Optometric Corporation | Optometrist | 26800 Crown Valley Pkwy, Suite #308, Mission Viejo, CA 92691-6384 | 2012-05-09 |
| 1770858441 | Mission Internal Medical Froup, Inc. | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1205101987 | Kathleen Marie Furlong | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487889853 | David A Steenblock, D.o. Incorporated | Clinic/Center | 26381 Crown Valley Pkwy Ste 130, Mission Viejo, CA 92691-6301 | 2009-05-28 |
| 1801362462 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 27001 La Paz Rd, Mission Viejo, CA 92691-5502 | 2018-10-22 |
| 1699975227 | Eleonora S. Spokoyny M.d., Inc. | Clinic/Center | 25982 Pala, Suite 150, Mission Viejo, CA 92691-6719 | 2007-07-22 |
| 1831251511 | David Alan Steenblock | Clinic/Center | 26381 Crown Valley Pkwy, Suite 130, Mission Viejo, CA 92691-6368 | 2006-12-15 |
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| 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.