Active NPI
Southern California Doctors Prof Medical Corp
- Urgent Care Clinic/Center
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- A102841
- Legal business name
- SOUTHERN CALIFORNIA DOCTORS PROF MEDICAL CORP
- Practice address
- 710 S Brookhurst St Ste a
Anaheim, CA 92804-4321 - Phone
- (714) 494-1331
- Fax
- (714) 494-1332
- NPI assigned
- Nov 30, 2017
- 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
- Robby Ayoub, MD
- Title
- President
- Phone
- (714) 683-2970
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 |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | A102841 | CA | Primary |
Addresses
Primary practice location
710 S Brookhurst St Ste a
Anaheim, CA 92804-4321
Mailing address
710 S Brookhurst St Ste a
Anaheim, CA 92804-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396958237 | Medicaid | CA |
Other names 1
- So Cal Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180307000961 | CA | Part B Supplier - Clinic/Group Practice | 7416218425 | Practice locations: Anaheim, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2145198 | So Cal Urgent Care | Certificate of waiver | Mar 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
710 S Brookhurst St
Ste B
Anaheim, CA 92804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Huntington Beach, CA
- NPI 1396958237
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1396259149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S BROOKHURST ST STE A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S BROOKHURST ST STE A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044321",
"telephone_number": "714-494-1331",
"fax_number": "714-494-1332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA DOCTORS PROF MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-30",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "AYOUB",
"authorized_official_first_name": "ROBBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-683-2970",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "A102841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396958237",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "So Cal Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
- South Coast Emergency Medical Group
- South Coast Pediatrics
- South Coast Psychiatric Advanced Nursing Practice
- Southern California Alcohol & Drug Programs, Inc.
- Southern California Diagnostic Imaging, Inc.
- Southern California Electrophysiology Associates
- Southern California Electrophysiology Associates, Inc.
- Southern California Kaiser Permanente
- Southern California Permanente Medical Group
- Southern Star Home Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.