Medmgr Mso

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MEDMGR MSO

Practice address

1520 Nutmeg PL Ste 210
Costa Mesa, CA 92626-2597

Phone

(800) 698-6151

NPI assigned

Jul 23, 2025

Organization subpart

No

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

Authorized official

Name

Aya Gabrielle Morales

Title

Lead, Credentialing

Phone

(714) 487-4482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1659253458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 NUTMEG PL STE 210",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262597",
            "telephone_number": "800-698-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NUTMEG PL STE 210",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262597",
            "telephone_number": "800-698-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMGR MSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "AYA GABRIELLE",
        "authorized_official_title_or_position": "LEAD, CREDENTIALING",
        "authorized_official_telephone_number": "714-487-4482"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.