MISSION VIEJO FAMILY MEDICAL CENTER (NPI# 1962575068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962575068 |
| Entity Type | Organization |
| Organization Name | MISSION VIEJO FAMILY MEDICAL CENTER |
| Practice Address |
27001 La Paz Rd Suite #294 Mission Viejo CA 92691-5502 |
| Practice Telephone | 9495888775 |
| Practice Fax Number | 9495889005 |
| Mailing Telephone | 9495888775 |
| Mailing Fax Number | 9495889005 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | DR. DAVID SCOT ZIMMERMAN (PRESIDENT) |
| Authorized Official Telephone | 9495888775 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A44517 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0042990 | 05 | |
| CA | BLUE SHIELD OF CA | ZZZ06326Z | 01 |
| Street Address |
27001 LA PAZ RD SUITE #294 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911833 | Jeffrey John Staples | Dentist | 27001 La Paz Rd, Ste 236, Mission Viejo, CA 92691-5537 | 2005-06-09 |
| 1801362462 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 27001 La Paz Rd, Mission Viejo, CA 92691-5502 | 2018-10-22 |
| 1871026682 | Sheila Mt Luwiharto Dds Ms PC | Dentist | 27001 La Paz Rd, #236, Mission Viejo, CA 92691-5502 | 2017-04-07 |
| 1063952141 | Todd Olthoff | Marriage & Family Therapist | 27001 La Paz Rd, Suite 300b, Mission Viejo, CA 92691-5502 | 2017-03-08 |
| 1689043317 | Catherine Ross | Marriage & Family Therapist | 27001 La Paz Rd, Suite 300b, Mission Viejo, CA 92691-5502 | 2015-09-23 |
| 1780961664 | Cross The World Ministries, Inc. | Counselor | 27001 La Paz Rd, Suite 300b, Mission Viejo, CA 92691-5502 | 2011-11-07 |
| 1205123189 | Jennifer Michelle Norheim | Marriage & Family Therapist | 27001 La Paz Rd, #300b, Mission Viejo, CA 92691-5502 | 2011-06-29 |
| 1255626164 | Kathy Jo Stones | Marriage & Family Therapist | 27001 La Paz Rd, Suite 300b, Mission Viejo, CA 92691-5502 | 2011-06-20 |
| 1548554629 | Chengtai Inc | Hearing Aid Equipment | 27001 La Paz Rd, Suite290, Mission Viejo, CA 92691-5502 | 2011-06-06 |
| 1447568902 | Human Arrows | Community/Behavioral Health | 27001 La Paz Rd, Suite # 266b,c, Mission Viejo, CA 92691-5502 | 2010-09-17 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558639815 | Gubbi T Mruthyunjaya | Clinic/Center | 27800 Medical Center Rd, Suite 300, Mission Viejo, CA 92691-6049 | 2011-12-01 |
| 1376845057 | Complete Care Family Medicine and Skin Center | Clinic/Center | 26800 Crown Valley Pkwy, Ste 435, Mission Viejo, CA 92691-6384 | 2010-12-01 |
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| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on MISSION VIEJO FAMILY MEDICAL CENTER.
| 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.