Organization Active NPI

St. Pantaleon a Medical Corporation

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mission Viejo, CA
National Provider Identifier
1720733413
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
ST. PANTALEON A MEDICAL CORPORATION
Practice address
22841 Briarcliff
Mission Viejo, CA 92692-1670
Phone
(310) 486-4810
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Martina Sheftic
Title
President
Phone
(310) 486-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

22841 Briarcliff
Mission Viejo, CA 92692-1670

Mailing address

22841 Briarcliff
Mission Viejo, CA 92692-1670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1720733413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22841 BRIARCLIFF",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22841 BRIARCLIFF",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921670",
            "telephone_number": "310-486-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PANTALEON A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "SHEFTIC",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-486-4810"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "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 Feb 21, 2022; 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.