Mission Internal Medical Froup, Inc.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

579745 Issued in CA

Legal business name

MISSION INTERNAL MEDICAL FROUP, INC.

Practice address

26800 Crown Valley Pkwy
Suite 275
Mission Viejo, CA 92691-6384

Phone

(949) 542-8002

Fax

(949) 542-7337

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Marcia Felce

Title

Credentialing Manager

Phone

(949) 282-1671

Specialties & licenses 1

Addresses

Tax ID family

Mission Internal Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mission Internal Medical Group, Inc.

  • Anesthesiology Physician
  • Mission Viejo, CA
  • NPI 1154697837
  NPD tax ID
• Mission Internal Medical Group, Inc.

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1649443169
  NPD tax ID

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1770858441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA",
            "address_2": "SUITE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330",
            "telephone_number": "949-282-1671",
            "fax_number": "949-367-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY",
            "address_2": "SUITE 275",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916384",
            "telephone_number": "949-542-8002",
            "fax_number": "949-542-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION INTERNAL MEDICAL FROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "FELCE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "949-282-1671"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "579745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Hills Surgicenter, LLC
• Mission Hospital
• Mission Hospital Regional Medical Center
• Mission Hospital Regional Medical Center
• Mission Hospital Regional Medical Center
• Mission Internal Medical Group, Inc.
• Mission Internal Medical Group, Inc.
• Mission Internal Medical Group, Inc.
• Mission Medical Urgent Care
• Mission Pathology Medical Associates

• Adult Health Nurse Practitioner in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.