Organization Active NPI

Mission Family Practice Inc

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1720480247
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G86482 Issued in CA
Legal business name
MISSION FAMILY PRACTICE INC
Practice address
26902 Oso Pkwy
Suite 140
Mission Viejo, CA 92691-5801
Phone
(949) 916-8870
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Dr. Jeffrey J. Globus, MDNPI 1730271321
Title
Owner
Phone
(949) 614-3090

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G86482 CA Primary

Addresses

Primary practice location

26902 Oso Pkwy
Suite 140
Mission Viejo, CA 92691-5801

Mailing address

26902 Oso Pkwy
Suite 140
Mission Viejo, CA 92691-5801
Phone (949) 916-8870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150225000010 CA Part B Supplier - Clinic/Group Practice 3971829631 Receives reassigned benefits from 2 practitioners
Practice locations: Mission 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
05D2094064Mission Family Practice26902 Oso Pkwy Ste 140, Mission Viejo, CA 92691Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Locations

26902 Oso Pkwy
Ste 140
Mission Viejo, CA 92691
Phone (949) 360-1112

Practitioners & affiliated clinicians

Practitioners 3

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1720480247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26902 OSO PKWY",
            "address_2": "SUITE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915801",
            "telephone_number": "949-916-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26902 OSO PKWY",
            "address_2": "SUITE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915801",
            "telephone_number": "949-916-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "GLOBUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-614-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G86482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.