South County Gastro Medical Clinic PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SOUTH COUNTY GASTRO MEDICAL CLINIC PC

Practice address

26691 Plaza Ste 150
Mission Viejo, CA 92691-6347

Phone

(949) 348-2900

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Nader Mirhoseni, MD

Title

Ceo

Phone

(949) 348-2900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1104522606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916347",
            "telephone_number": "949-348-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916347",
            "telephone_number": "949-348-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY GASTRO MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "MIRHOSENI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-348-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Medical Imaging
• South Bay Hearing & Balance Center
• South Coast Children'S Society, Inc
• South Coast Children'S Society, Inc
• South Coast Community Services
• South County Nephrology Consultants Medical Group Inc
• South County Pediatric Speech
• South Orange County Community College District
• South Orange County Gastroenterology Inc
• South Orange County Hematology Oncology Associates Inc

• Gastroenterology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.