San Clemente Internal Medical Group Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAN CLEMENTE INTERNAL MEDICAL GROUP INC.

Practice address

665 Camino de Los Mares Ste 309
San Clemente, CA 92673-2841

Phone

(949) 487-9034

Fax

(949) 493-3721

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie Francois, CCMA

Title

Administrator

Phone

(949) 487-9034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven P Cullen, MD

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1487765731
  Medicare reassignment Care Compare group NPD
• Nick J Karahalios, MD

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1255442505
  Medicare reassignment Care Compare group NPD
• Simon G Outhwaite, MD

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1851402002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1053416420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 309",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732841",
            "telephone_number": "949-487-9034",
            "fax_number": "949-493-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 309",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732841",
            "telephone_number": "949-487-9034",
            "fax_number": "949-493-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CLEMENTE INTERNAL MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "FRANCOIS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-487-9034",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Stanley Saltzman, MD
• Nicholas C Salvati, DMD
• Darush Behzad Samia, R.N.F.A.
• San Clemente Diagnostic Medical Clinic
• San Clemente Family Medicine (Memorial Family Medicine Medical Group, Inc.)
• San Clemente Optometry Corp
• San Clemente Physical Therapy Inc
• San Clemente Vitality Center Inc.
• Alma C Sanchez, M.D.
• Derek Sanchez

• Internal Medicine Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.