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SOUTH COUNTY URGENT CARE MEDICAL CORPORATION
NPI 1083822639
Emergency Medicine in San Clemente, CA

Active since May 18, 2007CLIA 05D1007536 · Microscopy
1300 AVENIDA VISTA HERMOSA, #100, SAN CLEMENTE, CA 92673(949) 218-8050(949) 218-8051 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2018, Mar 23, 2018 (2 updates tracked since 2018).

About South County Urgent Care Medical Corporation NPPES

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

SOUTH COUNTY URGENT CARE MEDICAL CORPORATION (NPI 1083822639) is a healthcare organization registered as an emergency medicine in San Clemente, California and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through December 19, 2026 and lists John Gentile, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083822639
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTH COUNTY URGENT CARE MEDICAL CORPORATION
Location Address1300 AVENIDA VISTA HERMOSA, #100San Clemente, CA 92673-6315
Mailing Address1300 Avenida Vista Hermosa, #100San Clemente, CA 92673-6315 · (949) 218-8050 · Fax (949) 218-8051
Phone(949) 218-8050
Fax(949) 218-8051
Organization SubpartNo
Authorized OfficialJohn GentileCeo · (949) 218-8050
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 26, 20182 updates tracked since enumeration
✔ NPI 1083822639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · FNP30274
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1300 AVENIDA VISTA HERMOSA, San Clemente, CA 92673
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Other Identifiers 1

OtherZZZ05603ZCA · Blue Shield

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 MULTIPLE 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 for Provider-Performed Microscopy Procedures (PPMP) 05D1007536

South County Urgent Care Medical Corp · San Clemente, CA
Active · expires Dec 19, 2026
CLIA Number05D1007536
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorRonald K. Mcgee
Laboratory Phone(949) 218-8050
Laboratory LocationSouth County Urgent Care Medical Corp1300 Avenida Vista Hermosa Ste 100, San Clemente, CA 92673
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

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

SEPIDEH FORSTIE
Chiropractor (Sports Physician)
1300 AVENIDA VISTA HERMOSA, STE 100
SAN CLEMENTE, CA 92673
Orange County (949) 939-2928
DR. SEPIDEH FORSTIE D.C.
Chiropractor (Sports Physician)
1300 AVENIDA VISTA HERMOSA, SUITE 100
SAN CLEMENTE, CA 92673
Orange County (949) 939-2928
SAN CLEMENTE FAMILY MEDICINE
Family Medicine
1300 AVENIDA VISTA HERMOSA, SUITE 200
SAN CLEMENTE, CA 92673
Orange County (949) 452-3199
PETRA G GOMEZ NCPT, NCMA
Technician, Pathology (Phlebotomy)
1300 AVENIDA VISTA HERMOSA, SUITE 100
SAN CLEMENTE, CA 92673
Orange County (949) 218-3001
MARGARET ANNE VANBLERK MD
Pediatrics
1300 AVENIDA VISTA HERMOSA, SUITE 250
SAN CLEMENTE, CA 92673
Orange County (949) 429-7700
DR. JOHN FREDERICK GENTILE MD
Family Medicine
1300 AVENIDA VISTA HERMOSA, SUITE 100
SAN CLEMENTE, CA 92673
Orange County (949) 218-8050
COMPREHENSIVE MEDICAL SERVICES
Clinic/Center (Multi-Specialty)
1300 AVENIDA VISTA HERMOSA, SUITE 220
SAN CLEMENTE, CA 92673
Orange County (949) 366-0070
CHRISTOPHER SCOTT CARLIN M.D.
Dermatology (Procedural Dermatology)
1300 AVENIDA VISTA HERMOSA, SUITE 240
SAN CLEMENTE, CA 92673
Orange County (949) 489-4290

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 South County Urgent Care Medical Corporation's NPI number?

The NPI number for South County Urgent Care Medical Corporation is 1083822639. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is South County Urgent Care Medical Corporation located?

South County Urgent Care Medical Corporation is located at 1300 Avenida Vista Hermosa #100, San Clemente, CA 92673. The listed phone number is (949) 218-8050.

What is South County Urgent Care Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does South County Urgent Care Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1007536) is associated with this NPI, valid through December 19, 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 South County Urgent Care Medical Corporation was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.