Medpro, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

MEDPRO, LLC

Practice address

157 Avenida Serra
San Clemente, CA 92672-4760

Phone

(949) 492-3514

Fax

(949) 366-2390

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Kara Lynn Nordberg

Title

President

Phone

(949) 492-3514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1851508287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926741359",
            "telephone_number": "949-492-3514",
            "fax_number": "949-366-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 AVENIDA SERRA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724760",
            "telephone_number": "949-492-3514",
            "fax_number": "949-366-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NORDBERG",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-492-3514"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Concierge (med-link)
• Richard Medina
• Medisource, Inc
• Medley Pharmco, Inc (Seaview Pharmacy)
• Eugene Medley, PHARM.D., M.S.
• Medsrx Inc
• Gail A Meinhold, MS, RDN
• Stephanie Michelle Melara
• Marissa Melhuse, LCSW
• Christopher Melville, MD

• Supports Brokerage Agency in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.