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OCEAN BREEZE MEDICAL GROUP, INC.
NPI 1386790400
Family Medicine in San Clemente, CA

Active since January 25, 2007CLIA 05D0966909 · Microscopy
150 AVENIDA CABRILLO STE A, SAN CLEMENTE, CA 92672(949) 369-6993 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1386790400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOCEAN BREEZE MEDICAL GROUP, INC.
Location Address150 AVENIDA CABRILLO STE ASan Clemente, CA 92672-5595
Mailing Address150 Avenida Cabrillo Ste ASan Clemente, CA 92672-5595 · (949) 369-6993
Phone(949) 369-6993
Organization SubpartNo
Authorized OfficialRicardo DavalosOwner · (949) 369-6993
Enumeration DateJanuary 25, 2007
Last NPPES UpdateDecember 13, 2010
✔ NPI 1386790400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A065157
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.
150 AVENIDA CABRILLO STE A, San Clemente, CA 92672
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Other Identifiers 2

Medicare UPINH06169CA
Medicare UPINH02901CA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0966909

Ocean Breeze Medical Group Inc · San Clemente, CA
Active · expires Oct 26, 2027
CLIA Number05D0966909
Laboratory TypeHospital
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorHotosa Ebrahimzadeh MD
Laboratory Phone(949) 369-6993
Laboratory LocationOcean Breeze Medical Group Inc150 Avenida Cabrillo #a, San Clemente, CA 92672
CLIA data matches this NPI record on: 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.

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 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.

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.