OCEAN BREEZE MEDICAL GROUP, INC.
NPI 1386790400
Family Medicine in San Clemente, CA
About Ocean Breeze Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OCEAN BREEZE MEDICAL GROUP, INC. (NPI 1386790400) is a healthcare organization registered as a family medicine in San Clemente, California and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through October 26, 2027 and lists Ricardo Davalos, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ocean Breeze Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ocean Breeze Medical Group, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) 05D0966909
Ocean Breeze Medical Group Inc · San Clemente, CAFrequently 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 Ocean Breeze Medical Group, Inc.'s NPI number?
The NPI number for Ocean Breeze Medical Group, Inc. is 1386790400. It was assigned to this organization in the NPPES registry on January 25, 2007.
Where is Ocean Breeze Medical Group, Inc. located?
Ocean Breeze Medical Group, Inc. is located at 150 Avenida Cabrillo Ste A, San Clemente, CA 92672. The listed phone number is (949) 369-6993.
What is Ocean Breeze Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ocean Breeze Medical Group, Inc. enrolled in Medicare?
Yes. Ocean Breeze Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ocean Breeze Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ocean Breeze Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ocean Breeze Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0966909) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ocean Breeze Medical Group, Inc. was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Ocean Breeze Medical Group, Inc. · NPI 1386790400
Family Medicine organization in San Clemente, California. Organization record, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1386790400 (Entity type: Organization)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ricardo Davalos, OWNER
## Practice location
- **Address:** 150 AVENIDA CABRILLO STE A, San Clemente, CA 92672-5595
- **Phone:** (949) 369-6993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2010
- **Other identifiers:** Medicare UPIN H06169 (CA); Medicare UPIN H02901 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386790400) · Data from the CMS NPPES public registry.