Our Mission Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OUR MISSION MEDICAL CLINIC

Practice address

1811 W Katella Ave Ste 117
Anaheim, CA 92804-6657

Phone

(657) 220-4208

Fax

(714) 333-4980

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Emma Bacani

Title

Cfo

Phone

(626) 807-0401

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jim Bacani

  • Durable Medical Equipment & Medical Supplies
  • Stanton, CA
  • NPI 1053805341
  NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1952886822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W KATELLA AVE STE 117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046657",
            "telephone_number": "657-220-4208",
            "fax_number": "714-333-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W KATELLA AVE STE 117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046657",
            "telephone_number": "657-220-4208",
            "fax_number": "714-333-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR MISSION MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "BACANI",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-807-0401"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Maci Ostrovsky
• Fernando Otero
• Claudia Marie Otis, BA, CATC III
• Richard Alan Ott, M.D.
• Otto Bock Orthopedic Services LLC
• Keith Outlaw
• Noubar K. Ouzounian, MD
• Tracy L Ouzounian, CRNA
• Stacy Overby
• Elizabeth Oviedo

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.