Active NPI
One Mission Medical Inc
Doing business as One Mission Medical Group
- Family Medicine Physician
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- ONE MISSION MEDICAL INC
NPPES NPI Registry
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, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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.
-
- Family Nurse Practitioner
- Mission Hills, CA
- NPI 1447672696
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1982650776
-
- Family Nurse Practitioner
- Riverside, CA
- NPI 1053037192
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.