NPIMap

Organization Active NPI

Rancho Capistrano Medical Clinic

Doing business as Dana Point Family Medical Group

  • Clinic/Center
  • Dana Point, CA
National Provider Identifier
1649306911
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RANCHO CAPISTRANO MEDICAL CLINIC
Doing business as
Dana Point Family Medical Group
Practice address
34052 La PLZ Ste 103
Dana Point, CA 92629-2571
Phone
(949) 240-2555
Fax
(949) 240-2121
NPI assigned
Feb 23, 2007
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Shilpa Jagdish Gaikwad, M.D.NPI 1508991050
Title
President
Phone
(949) 240-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

34052 La PLZ Ste 103
Dana Point, CA 92629-2571

Mailing address

34052 La PLZ Ste 103
Dana Point, CA 92629-2571
Phone (949) 240-2555

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ65759ZOtherCABLUE SHIELD PROVIDER NO.

Other names 1

  • DANA POINT FAMILY MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

34052 La Plaza
Ste 103
Dana Point, CA 92629
Phone (949) 240-2555

Practitioners & affiliated clinicians

Practitioners 1

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1649306911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34052 LA PLZ STE 103",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292571",
            "telephone_number": "949-240-2555",
            "fax_number": "949-240-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34052 LA PLZ STE 103",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292571",
            "telephone_number": "949-240-2555",
            "fax_number": "949-240-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO CAPISTRANO MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "GAIKWAD",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_middle_name": "JAGDISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-240-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NO.",
            "identifier": "ZZZ65759Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANA POINT FAMILY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.