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SOUTH COAST MEDICAL GROUP
NPI 1487958518
Clinic/Center - Primary Care in Aliso Viejo, CA

Active since January 04, 2011
5 JOURNEY, SUITE 130, ALISO VIEJO, CA 92656(949) 360-1069(949) 389-8969 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Coast Medical Group NPPES

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

SOUTH COAST MEDICAL GROUP (NPI 1487958518) is a healthcare organization registered as a primary care in Aliso Viejo, California and active in the NPI registry since January 2011. The organization lists Johnna Lynn Gherardini, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1487958518
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH COAST MEDICAL GROUP
Location Address5 JOURNEY, SUITE 130Aliso Viejo, CA 92656
Mailing Address5 Journey, Suite 130Aliso Viejo, CA 92656-5336 · (949) 360-1069 · Fax (949) 389-8969
Phone(949) 360-1069
Fax(949) 389-8969
Organization SubpartNo
Authorized OfficialJohnna Lynn GherardiniExecutive Director · (949) 360-1069
Enumeration DateJanuary 4, 2011
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1487958518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · NP 20003
5 JOURNEY, Aliso Viejo, CA 92656
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Other Providers at the Same Location NPPES 10

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

DR. KENNETH PATRICK MARTINEZ M.D.
Psychiatry & Neurology (Neurology)
5 JOURNEY, SUITE 210
ALISO VIEJO, CA 92656
Orange County (949) 305-7122
PAUL KIM M.D.
Pain Medicine (Interventional Pain Medicine)
5 JOURNEY, SUITE 220
ALISO VIEJO, CA 92656
Orange County (949) 644-5800
SCOTT M. MARTIN MD INC
Physical Medicine & Rehabilitation (Pain Medicine)
5 JOURNEY, SUITE 220
ALISO VIEJO, CA 92656
Orange County (949) 305-7122
CHARDONNAY SHINN PA-C
Physician Assistant
5 JOURNEY, SUITE #130
ALISO VIEJO, CA 92656
Orange County (949) 360-1069
DR. APIRADA PETCHPUD DDS
Dentist
5 JOURNEY, SUITE 250
ALISO VIEJO, CA 92656
Orange County (949) 360-1021
REBEKAH GRACE TORRES NP
Nurse Practitioner (Family)
5 JOURNEY, SUITE 210
ALISO VIEJO, CA 92656
Orange County (949) 305-7122
BRIAN BARRAGAN PA-C
Physician Assistant
5 JOURNEY
ALISO VIEJO, CA 92656
Orange County (949) 360-1069
MRS. WENDY LEIGH REULMAN PA-C
Physician Assistant
5 JOURNEY, #210
ALISO VIEJO, CA 92656
Orange County (949) 305-7122

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 Coast Medical Group's NPI number?

The NPI number for South Coast Medical Group is 1487958518. It was assigned to this organization in the NPPES registry on January 4, 2011.

Where is South Coast Medical Group located?

South Coast Medical Group is located at 5 Journey Suite 130, Aliso Viejo, CA 92656. The listed phone number is (949) 360-1069.

What is South Coast Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for South Coast Medical Group was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.