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SOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE
NPI 1649337221
Clinic/Center - Primary Care in Aliso Viejo, CA

Active since January 02, 2007
5 JOURNEY STE 130, ALISO VIEJO, CA 92656(949) 360-1069(949) 389-8968 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Coast Medical Group Family And Sports Medicine NPPES

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

SOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE (NPI 1649337221) is a healthcare organization registered as a primary care in Aliso Viejo, California and active in the NPI registry since January 2007. The organization lists Johnna Gherardini, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649337221
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE
Location Address5 JOURNEY STE 130Aliso Viejo, CA 92656-5330
Mailing Address5 Journey Ste 130Aliso Viejo, CA 92656-5330 · (949) 360-1069 · Fax (949) 389-8968
Phone(949) 360-1069
Fax(949) 389-8968
Organization SubpartNo
Authorized OfficialJohnna GherardiniExecutive Director · (949) 360-1069
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 30, 2015
✔ NPI 1649337221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5 JOURNEY STE 130, Aliso Viejo, CA 92656
Open in Google Maps ↗

Other Identifiers 6

Other1932284478CA · Eric Clark, Md
Medicare UPINY06380CA
Other1861586554CA · Shannon O'connor, Md
Medicare ID-Type UnspecifiedW17141CA
Other1619061397CA · John Cheng, Md
Other1598723058CA · Archanna Bhogill, Md

Other Providers at the Same Location NPPES 7

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

BRIAN THIEN THO HUYNH
Physician Assistant
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (949) 360-1069
MRS. STACY TSE NP
Nurse Practitioner
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (949) 360-1069
MR. TAI TIEN TRAN MSPAS, PA-C
Physician Assistant
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (949) 360-1069
OC FAMILY MEDICINE PC
Family Medicine
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (949) 235-6142
MIKAYLA MORGAN BROWN
Physician Assistant
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (499) 360-1069
HUNG DUC TRAN M.D
Family Medicine
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (949) 360-1069
KRISTINA LOUISE PRESTON PA-C
Physician Assistant
5 JOURNEY STE 130
ALISO VIEJO, CA 92656
Orange County (949) 360-1069

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 Family And Sports Medicine's NPI number?

The NPI number for South Coast Medical Group Family And Sports Medicine is 1649337221. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is South Coast Medical Group Family And Sports Medicine located?

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

What is South Coast Medical Group Family And Sports Medicine'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 Family And Sports Medicine was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.