1. Home
  2. Directory
  3. California
  4. Trabuco Canyon
  5. Physician Assistant
  6. NPI Profile

SOUTH COUNTY MEDICAL
NPI 1467697276
Physician Assistant in Trabuco Canyon, CA

Active since December 08, 2008
36 BRASSIE LN, TRABUCO CANYON, CA 92679(949) 243-4741(949) 713-5163 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South County Medical NPPES

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

SOUTH COUNTY MEDICAL (NPI 1467697276) is a healthcare organization registered as a physician assistant in Trabuco Canyon, California and active in the NPI registry since December 2008. The organization lists Richard Licon, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1467697276
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSOUTH COUNTY MEDICAL
Location Address36 BRASSIE LNTrabuco Canyon, CA 92679-4954
Mailing AddressP.o. Box 81044Rancho Santa Margarita, CA 92688 · (949) 243-4741 · Fax (949) 713-5163
Phone(949) 243-4741
Fax(949) 713-5163
Organization SubpartNo
Authorized OfficialRichard LiconCeo/president · (949) 243-4741
Enumeration DateDecember 8, 2008
Last NPPES UpdateNovember 14, 2011
✔ NPI 1467697276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA11666
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
36 BRASSIE LN, Trabuco Canyon, CA 92679
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical's NPI number?

The NPI number for South County Medical is 1467697276. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is South County Medical located?

South County Medical is located at 36 Brassie Ln, Trabuco Canyon, CA 92679. The listed phone number is (949) 243-4741.

What is South County Medical's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for South County Medical was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.