|
| |
|
27725 Santa Margarita Pkwy Ste 101 Mission Viejo CA 92691-6706 | |
| (949) 270-2100 | |
| (949) 650-4458 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 27725 Santa Margarita Pkwy Ste 101, Mission Viejo, California |
| Authorized Official Name and Position | Christy Ward (CEO) |
| Authorized Official Contact | 9495363927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 10159 Costa Mesa CA 92627-0050 Ph: (949) 270-2132 | 27725 Santa Margarita Pkwy Ste 101 Mission Viejo CA 92691-6706 Ph: (949) 270-2100 |
| NPI Number | 1629494398 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 4789854993 |
|---|---|
| Medicare Enrollment ID | O20160425002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629494398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 |