NPIMap

Organization Active NPI

Complete Care Family Medicine and Skin Center

  • Medical Specialty Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1821393414
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A64090 Issued in CA
Legal business name
COMPLETE CARE FAMILY MEDICINE AND SKIN CENTER
Practice address
27405 Puerta Real
Suite 200
Mission Viejo, CA 92691-6314
Phone
(949) 273-6663
Fax
(949) 273-6661
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Marcela Isabel Dominguez
Title
Owner/President
Phone
(949) 273-6663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A64090 CA Primary

Addresses

Primary practice location

27405 Puerta Real
Suite 200
Mission Viejo, CA 92691-6314

Mailing address

27405 Puerta Real
Suite 200
Mission Viejo, CA 92691-6314
Phone (949) 273-6663

National Provider Directory

National Provider Directory
Tax ID family
Complete Care Family Medicine and Skin Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1821393414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27405 PUERTA REAL",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916314",
            "telephone_number": "949-273-6663",
            "fax_number": "949-273-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27405 PUERTA REAL",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916314",
            "telephone_number": "949-273-6663",
            "fax_number": "949-273-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE FAMILY MEDICINE AND SKIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-273-6663",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A64090",
            "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 May 13, 2011; 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.