Active NPI
St. Pantaleon a Medical Corporation
- Hospice and Palliative Medicine (Family Medicine) Physician
- Mission Viejo, CA
National Provider Identifier
1720733413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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 DirectoryNPI 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.