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TOTAL CARE FAMILY MEDICAL CENTER
NPI 1639594955
Non-Pharmacy Dispensing Site in Lake Elsinore, CA

Active since February 24, 2014
425 DIAMOND DR, SUITE 102, LAKE ELSINORE, CA 92530(951) 674-8779 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Total Care Family Medical Center NPPES

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

TOTAL CARE FAMILY MEDICAL CENTER (NPI 1639594955) is a healthcare organization registered as a non-pharmacy dispensing site in Lake Elsinore, California and active in the NPI registry since February 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1639594955
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC
Location Address425 DIAMOND DR, SUITE 102Lake Elsinore, CA 92530-4495
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(951) 674-8779
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateFebruary 24, 2014
✔ NPI 1639594955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · 72993
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
425 DIAMOND DR, Lake Elsinore, CA 92530
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Other Names 1

Doing Business AsTotal Care Family Medical Center

Other Providers at the Same Location NPPES 5

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

WILLIAM M. KELLY M.D., INC.
Radiology (Diagnostic Neuroimaging)
425 DIAMOND DR, SUITE 103
LAKE ELSINORE, CA 92530
Riverside County (951) 245-2700
MIRENE GUEVARRA
Nurse Practitioner (Family)
425 DIAMOND DR
LAKE ELSINORE, CA 92530
Riverside County (951) 674-4114
FARID SAADAT MD INC
Internal Medicine
425 DIAMOND DR, SUITE 102
LAKE ELSINORE, CA 92530
Riverside County (951) 471-5711
MRS. ROSLYN RICHARDSON MS,RN-NP-C
Nurse Practitioner (Family)
425 DIAMOND DR
LAKE ELSINORE, CA 92530
Riverside County (951) 678-8479
ROCHELLE BUI
Physician Assistant
425 DIAMOND DR, SUITE #105
LAKE ELSINORE, CA 92530
Riverside County (951) 674-4114

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 Total Care Family Medical Center Of Lake Elsinore Inc's NPI number?

The NPI number for Total Care Family Medical Center Of Lake Elsinore Inc is 1639594955. It was assigned to this organization in the NPPES registry on February 24, 2014. The provider is doing business as Total Care Family Medical Center.

Where is Total Care Family Medical Center Of Lake Elsinore Inc located?

Total Care Family Medical Center Of Lake Elsinore Inc is located at 425 Diamond Dr Suite 102, Lake Elsinore, CA 92530. The listed phone number is (951) 674-8779.

What is Total Care Family Medical Center Of Lake Elsinore Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Total Care Family Medical Center Of Lake Elsinore Inc was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.