SOUTHERN CALIFORNIA SPECIALTY CARE, LLC – NPI #1780816934
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

SOUTHERN CALIFORNIA SPECIALTY CARE, LLC is a provider located in SANTA ANA, CA. NPPES has assigned the NPI number 1780816934 to SOUTHERN CALIFORNIA SPECIALTY CARE, LLC on August 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Jul 23, 2018. 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 SOUTHERN CALIFORNIA SPECIALTY CARE, LLC below.

NPI Profile for
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC

NPI Number
1780816934
Enumeration Date

(about 17 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
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC
Primary location
1901 COLLEGE AVE
SANTA ANA, CA 92706
Phone: (714) 564-7800 Fax: (714) 564-7814
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOSTAFA DARVISH
EXECUTIVE DIRECTOR
Phone: (714) 893-4541
Updated
Identifiers

Identifiers for SOUTHERN CALIFORNIA SPECIALTY CARE, LLC

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
OTHERBLUE CROSSCAZZZD3003Z
MEDICAIDCAHSP32028F
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
208D00000X
- General Practice (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.