Organization Active NPI

Oc Family Medicine PC

  • Family Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1700515731
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OC FAMILY MEDICINE PC
Practice address
5 Journey Ste 130
Aliso Viejo, CA 92656-5330
Phone
(949) 235-6142
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Shannon Michele O'Connor, MDNPI 1861586554
Title
Owner/Medical Director
Phone
(949) 235-6142

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

5 Journey Ste 130
Aliso Viejo, CA 92656-5330

Mailing address

5 Journey Ste 130
Aliso Viejo, CA 92656-5330
Phone (949) 235-6142

Other names 2

  • OC Family Medicine Doing business as
  • South Coast Medical Group Orange County Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL OCfamilymedi@gmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112000028 CA Part B Supplier - Clinic/Group Practice 0244600070 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2280420Oc Family Medicine PC5 Journey Ste 130, Aliso Viejo, CA 92656Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory

Locations

5 Journey
Ste 140
Aliso Viejo, CA 92656
Phone (949) 643-5163

5 Journey
Ste 150
Aliso Viejo, CA 92656

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1700515731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 130",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565330",
            "telephone_number": "949-235-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 130",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565330",
            "telephone_number": "949-235-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-235-6142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OCfamilymedi@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Ocfamilymedi@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OCfamilymedi@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OCfamilymedi@gmail.com",
            "address_1": "5 Journey Ste 130",
            "city": "Aliso Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926565330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OC Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Coast Medical Group Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.