S M Multispecialty Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37744 Issued in CA

Legal business name

S M MULTISPECIALTY MEDICAL CORPORATION

Practice address

2492 Walnut Ave
Suite 110
Tustin, CA 92780-6953

Phone

(714) 669-1997

Fax

(714) 573-7424

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Sunil MaparaNPI 1386777472

Title

President

Phone

(714) 970-0911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SUNRISE MULTI-SPECIALTY MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunil Mapara, M.D.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1386777472
  Medicare reassignment Care Compare group NPD Authorized official
• Pooja Akotia, D.O.

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1316234511
  Medicare reassignment Care Compare group NPD
• Kamran Aflatoon, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Newport Beach, CA
  • NPI 1124035902

  Single Specialty

  NPD (past)
• Karl Tanara, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1033236237

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1104960749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE",
            "address_2": "SUITE 110",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-669-1997",
            "fax_number": "714-573-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE",
            "address_2": "SUITE 110",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-669-1997",
            "fax_number": "714-573-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S M MULTISPECIALTY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "MAPARA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-970-0911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37744",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A37744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE MULTI-SPECIALTY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUNRISE MULTI-SPECIALTY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.