SAN CLEMENTE MEDI CENTER
NPI 1639268139
Emergency Medicine - Emergency Medical Services in San Clemente, CA
About San Clemente Medi Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN CLEMENTE MEDI CENTER (NPI 1639268139) is a healthcare organization registered as an emergency medical services in San Clemente, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists Rajesh J Kadakia, Owner President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Clemente Medi Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to San Clemente Medi Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 of Waiver 05D0579478
San Clemente Medi-Center · 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 Rajesh J Kadakia M D A Medical Corporation's NPI number?
The NPI number for Rajesh J Kadakia M D A Medical Corporation is 1639268139. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as San Clemente Medi Center.
Where is Rajesh J Kadakia M D A Medical Corporation located?
Rajesh J Kadakia M D A Medical Corporation is located at 910 S El Camino Real, San Clemente, CA 92672. The listed phone number is (949) 492-4994.
What is Rajesh J Kadakia M D A Medical Corporation's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Rajesh J Kadakia M D A Medical Corporation enrolled in Medicare?
Yes. Rajesh J Kadakia M D A Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Rajesh J Kadakia M D A Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rajesh J Kadakia M D A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rajesh J Kadakia M D A Medical Corporation, in Emergency Medicine, General Practice and Internal Medicine. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rajesh J Kadakia M D A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0579478) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rajesh J Kadakia M D A Medical Corporation was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# San Clemente Medi Center · NPI 1639268139
Emergency Medical Services organization in San Clemente, California. Organization record, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1639268139 (Entity type: Organization)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **Legal business name:** Rajesh J Kadakia M D A Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Rajesh Kadakia, OWNER PRESIDENT
## Practice location
- **Address:** 910 S EL CAMINO REAL, San Clemente, CA 92672-4279
- **Phone:** (949) 492-4994 · **Fax:** (949) 492-8517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), General Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2010
- **Other identifiers:** Medicare UPIN E50885; Medicare PIN W13445 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639268139) · Data from the CMS NPPES public registry.