NPIMap

Individual provider Active NPI

Nermine Morcos-Clark, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1447381439
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75275 Issued in CA
Practice address
23521 Paseo de Valencia
Suite 108
Laguna Hills, CA 92653-3107
Phone
(949) 588-7262
Fax
(949) 588-7260
NPI assigned
Mar 8, 2007
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A75275 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 108
Laguna Hills, CA 92653-3107

Mailing address

23521 Paseo de Valencia
Suite 108
Laguna Hills, CA 92653-3107
Phone (949) 588-7262

Other identifiers 1

IdentifierTypeStateIssuer
A75275OtherCAMEDICAL LICENSE

Other names 1

  • Nermine Morcos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122001005 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4385609098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23521 Pasco de Valencia
Suite 108
Laguna Hills, CA 92653-3137
Phone (949) 588-7262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A75275CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Cohen D.O. C.M.D., Inc. Current Accepting new patients
Nermine Morcos, M.D., Inc. CurrentSince Sep 7, 2004 Accepting new patients
Jorge a. Rivero, M.D., Inc. Current Accepting new patients
Senior Care Medical Associates, Inc. Internal Medicine Current Accepting new patients
Homer Kam Yun Lew,D.O.,a Medical Corporation Internal Medicine Current Accepting new patients
Tommy L. Hicks, M.D., Inc. Current Accepting new patients
Lori Clark M.D., Inc. Internal Medicine Current Accepting new patients
Senior Care Medical Associates, Inc. Internal Medicine Current Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Wieler & Sein Medical Group Past Accepting new patients

Locations

23521 Paseo de Valencia
Laguna Hills, CA 92653
Phone (949) 581-5900

23521 Paseo de Valencia
Ste 108
Laguna Hills, CA 92653
Phone (949) 588-7262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11277/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nermine.morcos.1@11277.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seasons of Life Hospice, LLCLake Forest, CA, CCN 551773 Hospice 5% Or Greater Direct Ownership Interest (14.29%) Feb 29, 2012
Care Plus Hospice, Inc.Laguna Hills, CA, CCN 551749 Hospice W-2 Managing Employee (100%) Sep 28, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1447381439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-588-7262",
            "fax_number": "949-588-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-588-7262",
            "fax_number": "949-588-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCOS-CLARK",
        "first_name": "NERMINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A75275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NERMINE",
            "last_name": "MORCOS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.