Active NPI
K. Mitchell Naficy MD Inc
- Family Medicine Physician
- San Juan Capistrano, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G72771
- Legal business name
- K. MITCHELL NAFICY MD INC
- Practice address
- 27512 Calle Arroyo
Suite a
San Juan Capistrano, CA 92675-2753 - Phone
- (949) 489-0773
- Fax
- (949) 489-9342
- NPI assigned
- Dec 8, 2006
- 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
- Dr. K. Mitchell Naficy, M.D.
- Title
- President
- Phone
- (949) 489-0773
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G72771 | CA | Primary |
Addresses
Primary practice location
27512 Calle Arroyo
Suite a
San Juan Capistrano, CA 92675-2753
Mailing address
27512 Calle Arroyo
Suite a
San Juan Capistrano, CA 92675-2753
Phone (949) 489-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G727710 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
27512 Calle Arroyo
Ste A
San Juan Capistrano, CA 92675
Phone (949) 388-8011
27512 Calle Arroyo
Ste D
San Juan Capistrano, CA 92675
Phone (949) 489-0773
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Juan Capistrano, CA
- NPI 1699755264
-
- Physician Assistant
- San Juan Capistrano, CA
- NPI 1871071761
-
- Physician Assistant
- San Juan Capistrano, CA
- NPI 1760436968
-
- Gastroenterology Physician
- Mission Viejo, CA
- NPI 1811902620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288051200000",
"number": "1255490678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27512 CALLE ARROYO",
"address_2": "SUITE A",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752753",
"telephone_number": "949-489-0773",
"fax_number": "949-489-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27512 CALLE ARROYO",
"address_2": "SUITE A",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752753",
"telephone_number": "949-489-0773",
"fax_number": "949-489-9342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K. MITCHELL NAFICY MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2010-10-26",
"status": "A",
"authorized_official_last_name": "NAFICY",
"authorized_official_first_name": "K. MITCHELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-489-0773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G72771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G727710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.