MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC. – NPI #1154642452
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC. is a provider located in SAN CLEMENTE, CA. NPPES has assigned the NPI number 1154642452 to MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC. on June 21, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC.” is a dba name, the actual legal business name for this organization is SAN CLEMENTE FAMILY MEDICINE. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC. below.

NPI Profile for
SAN CLEMENTE FAMILY MEDICINE

NPI Number
1154642452
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN CLEMENTE FAMILY MEDICINE
Doing Business As (dba): MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC.
Primary location
1300 AVENIDA VISTA HERMOSA
SUITE 200
SAN CLEMENTE, CA 92673-6315
Phone: (949) 452-3199 Fax: (949) 218-6866
Mailing address
450 E SPRING ST
SUITE 1
LONG BEACH, CA 90806-1625
Phone: (562) 933-0053 Fax: (562) 933-0079
Organization Subpart
No
Authorized Official
SUSAN MELVIN
PRESIDENT/CEO
Phone: (562) 933-0055
Updated
Identifiers

Identifiers for MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0071000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.