Organization Active NPI

Southland Family & Urgent Care Inc

  • Non-Pharmacy Dispensing Site
  • Mission Viejo, CA
National Provider Identifier
1942511407
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SOUTHLAND FAMILY & URGENT CARE INC
Doing business as
Southland Family & Urgent Care Inc
Practice address
27660 Santa Margarita Pkwy
Mission Viejo, CA 92691-6674
Phone
(949) 951-7111
Fax
(949) 951-2524
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Konstantinos Melahoures, M.D.NPI 1598939472
Title
Medical Director
Phone
(949) 951-7111

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

27660 Santa Margarita Pkwy
Mission Viejo, CA 92691-6674

Mailing address

27660 Santa Margarita Pkwy
Mission Viejo, CA 92691-6674
Phone (949) 951-7111

Other names 1

  • SOUTHLAND FAMILY & URGENT CARE INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southland Family Urgent Care Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1942511407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27660 SANTA MARGARITA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916674",
            "telephone_number": "949-951-7111",
            "fax_number": "949-951-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27660 SANTA MARGARITA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916674",
            "telephone_number": "949-951-7111",
            "fax_number": "949-951-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND FAMILY & URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-06-07",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MELAHOURES",
        "authorized_official_first_name": "KONSTANTINOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-951-7111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHLAND FAMILY & URGENT CARE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHLAND FAMILY & URGENT CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 7, 2024; 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.