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MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC.
NPI 1154642452
Family Medicine in San Clemente, CA

Active since June 21, 2010
1300 AVENIDA VISTA HERMOSA, SUITE 200, SAN CLEMENTE, CA 92673(949) 452-3199(949) 218-6866 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memorial Family Medicine Medical Group, Inc. NPPES

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

MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC. (NPI 1154642452) is a healthcare organization registered as a family medicine in San Clemente, California and active in the NPI registry since June 2010. The organization lists Susan Yvonne Melvin, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1154642452
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN CLEMENTE FAMILY MEDICINE
Location Address1300 AVENIDA VISTA HERMOSA, SUITE 200San Clemente, CA 92673-6315
Mailing Address450 E Spring St, Suite 1Long Beach, CA 90806-1625 · (562) 933-0053 · Fax (562) 933-0079
Phone(949) 452-3199
Fax(949) 218-6866
Organization SubpartNo
Authorized OfficialSusan Yvonne MelvinPresident/ceo · (562) 933-0055
Enumeration DateJune 21, 2010
✔ NPI 1154642452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 AVENIDA VISTA HERMOSA, San Clemente, CA 92673
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Other Names 1

Doing Business AsMemorial Family Medicine Medical Group, Inc.

Other Identifiers 2

Medicare PINW13857CA
MedicaidGR0071000CA

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

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
SOUTH COUNTY URGENT CARE MEDICAL CORPORATION
Emergency Medicine
1300 AVENIDA VISTA HERMOSA, #100
SAN CLEMENTE, CA 92673
Orange County (949) 218-8050
DR. SEPIDEH FORSTIE D.C.
Chiropractor (Sports Physician)
1300 AVENIDA VISTA HERMOSA, SUITE 100
SAN CLEMENTE, CA 92673
Orange County (949) 939-2928
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 San Clemente Family Medicine's NPI number?

The NPI number for San Clemente Family Medicine is 1154642452. It was assigned to this organization in the NPPES registry on June 21, 2010. The provider is doing business as Memorial Family Medicine Medical Group, Inc..

Where is San Clemente Family Medicine located?

San Clemente Family Medicine is located at 1300 Avenida Vista Hermosa Suite 200, San Clemente, CA 92673. The listed phone number is (949) 452-3199.

What is San Clemente Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for San Clemente Family Medicine was last updated on June 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.