MEDHERO SAN CLEMENTE, A PROFESSIONAL MEDICAL CORPORATION
NPI 1558736520
Clinic/Center - Urgent Care in San Clemente, CA
About Medhero San Clemente, A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDHERO SAN CLEMENTE, A PROFESSIONAL MEDICAL CORPORATION (NPI 1558736520) is a healthcare organization registered as an urgent care in San Clemente, California and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Carlsbad and lists Gregory William Moreno, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Medhero San Clemente, A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Medhero San Clemente, A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Los Angeles, CA 90033
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medhero San Clemente, A Professional Medical Corporation's NPI number?
The NPI number for Medhero San Clemente, A Professional Medical Corporation is 1558736520. It was assigned to this organization in the NPPES registry on December 2, 2015.
Where is Medhero San Clemente, A Professional Medical Corporation located?
Medhero San Clemente, A Professional Medical Corporation is located at 905 Calle Amanecer Suite 115, San Clemente, CA 92673. The listed phone number is (949) 207-3603.
What is Medhero San Clemente, A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Medhero San Clemente, A Professional Medical Corporation enrolled in Medicare?
Yes. Medhero San Clemente, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medhero San Clemente, A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Medhero San Clemente, A Professional Medical Corporation, in Emergency Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Medhero San Clemente, A Professional Medical Corporation was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Medhero San Clemente, A Professional Medical Corporation · NPI 1558736520
Urgent Care organization in San Clemente, California. Organization record, active in the CMS NPPES registry since December 2, 2015.
## Identity
- **NPI:** 1558736520 (Entity type: Organization)
- **Enumerated:** December 2, 2015
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Gregory Moreno, PRESIDENT
## Practice location
- **Address:** 905 CALLE AMANECER, SUITE 115, San Clemente, CA 92673-6274
- **Phone:** (949) 207-3603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (2), Nurse Practitioner (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558736520) · Data from the CMS NPPES public registry.