Mission Internal Medical Group, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MISSION INTERNAL MEDICAL GROUP, INC.

Practice address

27882 Forbes Rd
Suite 110
Laguna Niguel, CA 92677-1267

Phone

(949) 364-2955

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Dennis A. Wolin

Title

Ceo

Phone

(949) 282-1600

Specialties & licenses 1

Addresses

Tax ID family

Mission Internal Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mission Internal Medical Froup, Inc.

  • Adult Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1770858441
  NPD tax ID
• Mission Internal Medical Group, Inc.

  • Anesthesiology Physician
  • Mission Viejo, CA
  • NPI 1154697837
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack C Feng, M.D.

  • Gastroenterology Physician
  • Mission Viejo, CA
  • NPI 1710964481
  NPD (past)
• David T Kawanishi, M.D.

  • Interventional Cardiology Physician
  • Mission Viejo, CA
  • NPI 1518944057
  NPD (past)
• Willilam C Shiel, M.D.

  • Rheumatology Physician
  • Mission Viejo, CA
  • NPI 1699752683
  NPD (past)
• Bruce R Tammelin, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Newport Beach, CA
  • NPI 1942288709
  NPD (past)
• Paul A Wehrle, M.D.

  • Rheumatology Physician
  • Mission Viejo, CA
  • NPI 1033197835
  NPD (past)
• Maureen Ursula Welker, MSN, NPC, CCRN

  • Family Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1386608438
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1649443169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA",
            "address_2": "SUITE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330",
            "telephone_number": "949-282-1600",
            "fax_number": "949-367-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD",
            "address_2": "SUITE 110",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-364-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION INTERNAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "WOLIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-282-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Miller
• Milomir Milosevich, PT
• Rachel Elizabeth Minahan, OTR
• Tricia Minty
• Miracor Diagnostics, Inc.
• Mission Viejo Medical Clinic
• Mission Viejo Radiology Center, Inc.
• Steven Mitchell, ASW
• Melika Moeini, DMD
• Tannaz Moghim Dehkordi

• Physical Therapist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.