RAEF M ELSANADI MD INC A PROFESSIONAL CORPORATION
NPI 1053482752
Internal Medicine in Mission Viejo, CA

Active since November 13, 2006CLIA 05D0970605 · Waiver
27800 MEDICAL CTR RD, 212, MISSION VIEJO, CA 92691(949) 364-3582(949) 364-3582 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raef M Elsanadi Md Inc A Professional Corporation NPPES

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

RAEF M ELSANADI MD INC A PROFESSIONAL CORPORATION (NPI 1053482752) is a healthcare organization registered as an internal medicine in Mission Viejo, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Raef M Elsanadi, President, as its authorized official.

NPPES Registry Identity

NPI1053482752
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRAEF M ELSANADI MD INC A PROFESSIONAL CORPORATION
Location Address27800 MEDICAL CTR RD, 212Mission Viejo, CA 92691
Mailing Address27800 Medical Ctr Rd, 212Mission Viejo, CA 92691 · (949) 364-3582 · Fax (949) 364-1472
Fax(949) 364-3582
Organization SubpartNo
Authorized OfficialRaef M ElsanadiPresident · (949) 364-3582
Enumeration DateNovember 13, 2006
Last NPPES UpdateMarch 7, 2014
NPI 1053482752 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.

27800 MEDICAL CTR RD, Mission Viejo, CA 92691

Other Identifiers 1

Medicare ID-Type UnspecifiedW18189CA

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 05D0970605

Raef M Elsanadi MD Inc · Ladera Ranch, CA
Active · expires Feb 17, 2028
CLIA Number05D0970605
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorRaef M. Elsanadi
Laboratory Phone(949) 364-3582
Laboratory LocationRaef M Elsanadi MD Inc333 Corporate Dr, #210, Ladera Ranch, CA 92694
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053482752, enumerated as an "organization" on November 13, 2006.

The provider is located at 27800 MEDICAL CTR RD 212 MISSION VIEJO, CA 92691 and the phone number is (949) 364-3582.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.