Southern California Medical Specialists, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A65424 Issued in CA

Legal business name

SOUTHERN CALIFORNIA MEDICAL SPECIALISTS, INC.

Practice address

1625 E 17TH St Ste 100
Santa Ana, CA 92705-8517

Phone

(714) 543-9555

Fax

(714) 543-9595

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Vaishali Sanjay Deshmukh

Title

Office Manager

Phone

(714) 543-9555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sanjay Vijay Deshmukh, M. D.

  • Specialist
  • Santa Ana, CA
  • NPI 1487642377
  NPD (past)

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1689811069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E 17TH ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058517",
            "telephone_number": "714-543-9555",
            "fax_number": "714-543-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E 17TH ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058517",
            "telephone_number": "714-543-9555",
            "fax_number": "714-543-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MEDICAL SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_middle_name": "SANJAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-543-9555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A65424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern California Prosthetics, Inc.
• Southern California Specialty Care, LLC
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• Southland Integrated Services, Inc. (Integrated Community Services - Santa Ana)

• Medical Specialty Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.