Organization Active NPI

One Mission Medical Inc

Doing business as One Mission Medical Group

  • Family Medicine Physician
  • Mission Hills, CA
National Provider Identifier
1548856586
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONE MISSION MEDICAL INC
Doing business as
One Mission Medical Group
Practice address
10200 Sepulveda Blvd Ste 140
Mission Hills, CA 91345-3323
Phone
(818) 610-6536
Fax
(818) 450-0133
NPI assigned
Dec 14, 2020
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ONE MISSION MEDICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mr. Luis Manuel Origel Jr., MSN, FNPNPI 1447672696
Title
President/Ceo
Phone
(818) 610-6536

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10200 Sepulveda Blvd Ste 140
Mission Hills, CA 91345-3323

Mailing address

10200 Sepulveda Blvd Ste 140
Mission Hills, CA 91345-3323
Phone (818) 610-6536

Other names 1

  • ONE MISSION MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409001544 CA Part B Supplier - Clinic/Group Practice 2163830217 Receives reassigned benefits from 2 practitioners
Practice locations: Mission Hills, CA

National Provider Directory

National Provider Directory
Part of
One Mission Medical Inc

Locations

10200 Sepulveda Blvd
Ste 140
Mission Hills, CA 91345
Phone (818) 433-6955

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1548856586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 140",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913453323",
            "telephone_number": "818-610-6536",
            "fax_number": "818-450-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 140",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913453323",
            "telephone_number": "818-610-6536",
            "fax_number": "818-450-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MISSION MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE MISSION MEDICAL INC",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "ORIGEL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-610-6536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONE MISSION MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ONE MISSION MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.

Verify at the official NPI Registry.