Mission Viejo Family Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A44517 Issued in CA

Legal business name

MISSION VIEJO FAMILY MEDICAL CENTER

Practice address

27001 La Paz Rd
Suite #294
Mission Viejo, CA 92691-5502

Phone

(949) 588-8775

Fax

(949) 588-9005

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Scot Zimmerman, M.D.

Title

President

Phone

(949) 588-8775

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Bruce Seligsohn, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1992745608
  Medicare reassignment NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1962575068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE #294",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-588-8775",
            "fax_number": "949-588-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE #294",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-588-8775",
            "fax_number": "949-588-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VIEJO FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-588-8775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A44517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042990",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ06326Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mission Trauma Surgical Medical GRP
• Mission Viejo Assisted Living LLC (Paragon Gardens Assisted Living & Memory Care Community)
• Mission Viejo Dental Associates
• Mission Viejo Emergency Medical Associates
• Mission Viejo Endoscopy Partners, LLC (South County Endoscopy Center)
• Mission Viejo Modern Dentistry, Prof. Corp. (Mission Viejo Modern Dentistry)
• Mission Viejo Office
• Mission Viejo Radiation Oncology Corp. (Mission Viejo Radiation Oncology Center)
• Misson OB/GYN Medical Group, Inc.
• Sean Mitchell, LMFT

• Primary Care Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.