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SAN CLEMENTE INTERNAL MEDICAL GROUP INC.
NPI 1053416420
Internal Medicine in San Clemente, CA

Active since September 13, 2006CLIA 05D0949914 · Waiver
665 CAMINO DE LOS MARES STE 309, SAN CLEMENTE, CA 92673(949) 487-9034(949) 493-3721 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Clemente Internal Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN CLEMENTE INTERNAL MEDICAL GROUP INC. (NPI 1053416420) is a healthcare organization registered as an internal medicine in San Clemente, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Debbie Francois, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053416420
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAN CLEMENTE INTERNAL MEDICAL GROUP INC.
Location Address665 CAMINO DE LOS MARES STE 309San Clemente, CA 92673-2841
Mailing Address665 Camino De Los Mares Ste 309San Clemente, CA 92673-2841 · (949) 487-9034 · Fax (949) 493-3721
Phone(949) 487-9034
Fax(949) 493-3721
Organization SubpartNo
Authorized OfficialDebbie FrancoisAdministrator · (949) 487-9034
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1053416420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

665 CAMINO DE LOS MARES STE 309, San Clemente, CA 92673
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0949914

San Clemente Internal Medicine Group · San Clemente, CA
Active · expires Aug 12, 2026
CLIA Number05D0949914
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorNick J. Karahalios MD
Laboratory Phone(949) 487-9034
Laboratory LocationSan Clemente Internal Medicine Group665 Camino De Los Mares,#309, San Clemente, CA 92673
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICK J KARAHALIOS MD
Internal Medicine
665 CAMINO DE LOS MARES STE 309
SAN CLEMENTE, CA 92673
Orange County (949) 487-9034
STEVEN P CULLEN MD
Internal Medicine
665 CAMINO DE LOS MARES STE 309
SAN CLEMENTE, CA 92673
Orange County (949) 487-9034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Clemente Internal Medical Group Inc.'s NPI number?

The NPI number for San Clemente Internal Medical Group Inc. is 1053416420. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is San Clemente Internal Medical Group Inc. located?

San Clemente Internal Medical Group Inc. is located at 665 Camino De Los Mares Ste 309, San Clemente, CA 92673. The listed phone number is (949) 487-9034.

What is San Clemente Internal Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does San Clemente Internal Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0949914) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Clemente Internal Medical Group Inc. was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.