SOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC
NPI 1376632281
Family Medicine in Lake Elsinore, CA

Q: What is Southern California Primary Care Medical Group, Inc's specialty?

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

Active since October 11, 2006

31581 CANYON ESTATES DR, LAKE ELSINORE, CA 92532(951) 244-3500(951) 244-3535 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2025, May 14, 2025 (2 updates tracked since 2025).

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About Southern California Primary Care Medical Group, Inc NPPES

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

SOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC (NPI 1376632281), doing business as Canyon Lake Urgent & Family Care, is a healthcare organization registered as a family medicine in Lake Elsinore, California and active in the NPI registry since October 2006. The organization lists Mohammad R Danesh, Director, as its authorized official.

NPPES Registry Identity

NPI1376632281

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC

Location Address31581 CANYON ESTATES DRLake Elsinore, CA 92532-0424

Mailing Address31581 Canyon Estates DrLake Elsinore, CA 92532-0424 · (951) 244-3500 · Fax (951) 244-3535

Phone(951) 244-3500

Fax(951) 244-3535

Organization SubpartNo

Authorized OfficialMohammad R DaneshDirector · (951) 244-3500

Enumeration DateOctober 11, 2006

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1376632281 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.

31581 CANYON ESTATES DR, Lake Elsinore, CA 92532

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Other Names 1

Doing Business AsCanyon Lake Urgent & Family Care

Other Providers at the Same Location NPPES 6

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

RYAN JACOBS PA-C

Physician Assistant (Medical)