NPIMap

Organization Active NPI

Total Care Family Medical Center of Lake Elsinore Inc.

  • Multi-Specialty Clinic/Center
  • Murrieta, CA
National Provider Identifier
1205084449
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC.
Practice address
24703 Monroe Ave
Murrieta, CA 92562-9569
Phone
(951) 698-1168
Fax
(951) 698-0768
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. NA'Imah D Powell, M.D.NPI 1720057623
Title
Owner/Officer
Phone
(951) 698-1168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

24703 Monroe Ave
Murrieta, CA 92562-9569

Mailing address

24703 Monroe Ave
Murrieta, CA 92562-9569
Phone (951) 698-1168

Other identifiers 2

IdentifierTypeStateIssuer
G729930OtherCAMEDICARE ID
G729931MedicaidCA

Other names 1

  • TOTAL CARE FAMILY MEDICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Temecula Urgent Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1205084449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24703 MONROE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629569",
            "telephone_number": "951-698-1168",
            "fax_number": "951-698-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24703 MONROE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629569",
            "telephone_number": "951-698-1168",
            "fax_number": "951-698-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "NA'IMAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "951-698-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G729930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G729931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL CARE FAMILY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.