NPIMap

Organization Active NPI

Medical Concierge

  • Psychiatric Residential Treatment Facility
  • San Clemente, CA
National Provider Identifier
1790068971
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
30600418 Issued in CA
Legal business name
MEDICAL CONCIERGE
Practice address
307 E Avenida Cordoba
San Clemente, CA 92672-2314
Phone
(949) 359-8273
Fax
(949) 943-1541
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Michael RohamNPI 1043516404
Title
Business Operations Specialist
Phone
(949) 230-5343

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
Psychiatric Residential Treatment Facility 323P00000X 30600418 CA Primary

Addresses

Primary practice location

307 E Avenida Cordoba
San Clemente, CA 92672-2314

Mailing address

647 Camino de Los Mares Ste 230
San Clemente, CA 92673-2860
Phone (949) 230-5343

Other names 1

  • med-link Doing business as

National Provider Directory

National Provider Directory

Locations

647 Camino de los Mares
Ste 230
San Clemente, CA 92673
Phone (949) 218-4868

Practitioners & affiliated clinicians

Practitioners 1

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": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1790068971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 230",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732860",
            "telephone_number": "949-230-5343",
            "fax_number": "949-489-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E AVENIDA CORDOBA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722314",
            "telephone_number": "949-359-8273",
            "fax_number": "949-943-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "ROHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "949-230-5343"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "30600418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "med-link",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "med-link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.