Active NPI
Mdley Co
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Clemente, CA
National Provider Identifier
1134933385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MDLEY CO
- Practice address
- 806 Avenida Pico
San Clemente, CA 92673-5639 - Phone
- (775) 550-7401
- NPI assigned
- Feb 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deepak Rajpoot, MD
- Title
- Partner
- Phone
- (775) 550-7401
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Hospitalist Physician | 208M00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
806 Avenida Pico
San Clemente, CA 92673-5639
Mailing address
806 Avenida Pico
San Clemente, CA 92673-5639
Phone (775) 550-7401
National Provider Directory
National Provider DirectoryLocations
806 Avenida Pico
San Clemente, CA 92673
Phone (775) 550-7401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1134933385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 AVENIDA PICO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926735639",
"telephone_number": "775-550-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 AVENIDA PICO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926735639",
"telephone_number": "775-550-7401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDLEY CO",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "RAJPOOT",
"authorized_official_first_name": "DEEPAK",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "775-550-7401",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.