NPIMap

Organization Active NPI

Total Care Family Medical Center of Lake Elsinore, Inc.

  • Family Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1992950703
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72993 Issued in CA
Legal business name
TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE, INC.
Practice address
425 Diamond Drive
Suite 105
Lake Elsinore, CA 92530
Phone
(951) 674-8779
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. NA'Imah D Powell, M.D.NPI 1720057623
Title
Owner
Phone
(951) 674-8779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G72993 CA Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

425 Diamond Drive
Suite 105
Lake Elsinore, CA 92530

Mailing address

425 Diamond Drive
Suite 105
Lake Elsinore, CA 92530
Phone (951) 674-8779

National Provider Directory

National Provider Directory

Locations

31712 Casino Dr
Ste 8D
Lake Elsinore, CA 92530
Phone (951) 647-8779

Practitioners & affiliated clinicians

Practitioners 6

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1992950703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DRIVE",
            "address_2": "SUITE 105",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DRIVE",
            "address_2": "SUITE 105",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "NA'IMAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-674-8779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72993",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.