| Celebrating Life Community Health Center | |
|
27800 Medical Center Rd Ste 110 Mission Viejo CA 92691-6407 | |
| (949) 866-3600 | |
| Not Available |
| Full Name | Celebrating Life Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 27800 Medical Center Rd Ste 110, Mission Viejo, California |
| Authorized Official Name and Position | Sergey Sergeyev (CEO) |
| Authorized Official Contact | 9498663600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrating Life Community Health Center 27800 Medical Center Rd Ste 110 Mission Viejo CA 92691-6407 Ph: (949) 866-3600 | Celebrating Life Community Health Center 27800 Medical Center Rd Ste 110 Mission Viejo CA 92691-6407 Ph: (949) 866-3600 |
| NPI Number | 1386273100 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 09/23/2022 |
| Medicare PECOS PAC ID | 4789015140 |
|---|---|
| Medicare Enrollment ID | O20200519001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386273100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Siamak Tehrani Nabili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407892490 PECOS PAC ID: 7719953876 Enrollment ID: I20040909000521 |
| Provider Name | Yelena Y Sergeyeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275607871 PECOS PAC ID: 9436159605 Enrollment ID: I20070111000575 |
| Provider Name | Sabrina J Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272588 PECOS PAC ID: 3870775992 Enrollment ID: I20110310000909 |
| Provider Name | Samir A Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497710545 PECOS PAC ID: 8022009570 Enrollment ID: I20110329000311 |
| Provider Name | Sarah J Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508308420 PECOS PAC ID: 5799034377 Enrollment ID: I20180814004185 |
| Provider Name | Hanna Shin Zameni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760073951 PECOS PAC ID: 2365836368 Enrollment ID: I20220308000253 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |