Southland Family & Urgent Care Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A40532 Issued in CA

Legal business name

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

Mar 19, 2007

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Konstantinos Melahoures, M.D.NPI 1598939472

Title

Medical Director

Phone

(949) 951-7111

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Southland Family & Urgent Care Inc

  • Non-Pharmacy Dispensing Site
  • Mission Viejo, CA
  • NPI 1942511407
  NPD tax ID

Locations

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.

• Konstantinos Melahoures, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1598939472
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1972627586",
    "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": "2007-03-19",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40532",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A40532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Calfiornia Sunrise Recovery Center
• Southern California Alcohol and Drug Recovery Foundation
• Southern California Hospice Foundation (The Heavenly Home)
• Southern California Sunrise Recovery Center
• Southland Family & Urgent Care Inc
• Southland Physical Therapy Mission Viejo Clinic, PC (Southland Physical Therapy)
• SP Pediatrics (Sunny Trails Pediatrics)
• Speakeasy Speech Therapy, Inc.
• Sasha Daniel Speare, RN
• Spectrum Health Alliance, LLC

• General Practice Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• General Practice Physician in California

• 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.
• 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.