<unavail> in San Clemente, CA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in San Clemente, California. The current practice location for is 665 Camino De Los Mares Ste 305, San Clemente, California. For appointments, you can reach them via phone at (949) 371-9259. The mailing address for is 258 White Cap Ln, Newport Coast, California and phone number is (917) 575-6669.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407526270. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (949) 371-9259.

Contact Information


	665 Camino De Los Mares Ste 305 San Clemente CA 92673-2841
	(949) 371-9259
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	665 Camino De Los Mares Ste 305, San Clemente, California
Authorized Official Name and Position	Maryam Poursartip (INTERNAL MEDICINE)
Authorized Official Contact	9175756669
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
258 White Cap Ln Newport Coast CA 92657-1088 Ph: (917) 575-6669	665 Camino De Los Mares Ste 305 San Clemente CA 92673-2841 Ph: (949) 371-9259

NPI Details:

NPI Number	1407526270
Provider Enumeration Date	09/14/2021
Last Update Date	12/21/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4284024852
Medicare Enrollment ID	O20220120000558

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407526270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Maryam Poursartip
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1225298110 PECOS PAC ID: 9931225406 Enrollment ID: I20220120000638

Reviews and Comments

Internal Medicine in San Clemente, CA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares Ste 200, San Clemente, CA 92673 Phone: 949-489-8783
San Clemente Internal Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares Ste 309, San Clemente, CA 92673 Phone: 949-487-9034 Fax: 949-493-3721
Joomo Yang, Md., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Camino Corso Rio, San Clemente, CA 92673 Phone: 949-226-8416 Fax: 949-226-8019
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 Avenida Pico, Sutie 103, San Clemente, CA 92673 Phone: 202-904-8490

- Medicare Primary Care in San Clemente, CA