OPTIMUM MEDICAL CLINICS, INC (NPI# 1043520885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043520885 |
| Entity Type | Organization |
| Organization Name | OPTIMUM MEDICAL CLINICS, INC |
| Practice Address |
20072 Sw Birch St Suite 100 Newport Beach CA 92660-0794 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 9497571150 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | SAMUEL K. PARK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9497571150 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTIMUM MEDICAL CLINICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
20072 SW BIRCH ST SUITE 100 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-0794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043258502 | Valerie Valentine Acevedo | Psychiatry & Neurology | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2006-06-04 |
| 1760922413 | Bettina Limjoco Mdpc | Clinic/Center | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2017-02-28 |
| 1396108130 | Gina Nick Cushman | Internal Medicine | 20072 Sw Birch St, 240, Newport Beach, CA 92660-0794 | 2016-03-30 |
| 1699137737 | Health Bridge Newport | Psychoanalyst | 20072 Sw Birch St, Suite 240, Newport Beach, CA 92660-0794 | 2016-03-28 |
| 1417346412 | Shahem Kawji, Md, Inc | Ophthalmology | 20072 Sw Birch St, Suite 260, Newport Beach, CA 92660-0794 | 2015-01-13 |
| 1518237882 | Mdm Medical Mgmt. | Case Manager/Care Coordinator | 20072 Sw Birch St, Suite 200-b, Newport Beach, CA 92660-0794 | 2012-01-04 |
| 1538455860 | Mark T Kan, Inc | Obstetrics & Gynecology | 20072 Sw Birch St, Suite 230, Newport Beach, CA 92660-0794 | 2011-06-24 |
| 1861796195 | Maher M Saleeb, M.d., Inc | Clinic/Center | 20072 Sw Birch St, Ste # 240, Newport Beach, CA 92660-0794 | 2010-12-30 |
| 1053626630 | Raafat W. Girgis, M.d., Inc. | Psychiatry & Neurology | 20072 Sw Birch St, Suite # 240, Newport Beach, CA 92660-0794 | 2010-08-08 |
| 1134365208 | Alex Acevedo Jr. | Chiropractor | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2008-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1932647716 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 600 Newport Center Dr, Suite 150, Newport Beach, CA 92660-6417 | 2017-02-01 |
| 1427331255 | Outpatient Health Care, Inc. | Non-Pharmacy Dispensing Site | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2011-09-28 |
| 1326334202 | Riviera Medical Corporation | Non-Pharmacy Dispensing Site | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2011-06-20 |
| 1932434438 | Avaocado Medical Group | Non-Pharmacy Dispensing Site | 1441 Avocado Ave, 702, Newport Beach, CA 92660-7721 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.