OPTIMUM MEDICAL CLINICS INC
NPI 1649354366
Family Medicine in Newport Beach, CA
About Optimum Medical Clinics Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMUM MEDICAL CLINICS INC (NPI 1649354366) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since October 2006. The organization lists Samuel Kyung-uk Park, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Optimum Medical Clinics Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Optimum Medical Clinics Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Optimum Medical Clinics Inc's NPI number?
The NPI number for Optimum Medical Clinics Inc is 1649354366. It was assigned to this organization in the NPPES registry on October 25, 2006.
Where is Optimum Medical Clinics Inc located?
Optimum Medical Clinics Inc is located at 20072 SW Birch St Ste 100, Newport Beach, CA 92660. The listed phone number is (949) 757-1150.
What is Optimum Medical Clinics Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Optimum Medical Clinics Inc enrolled in Medicare?
Yes. Optimum Medical Clinics Inc is registered in the Medicare PECOS enrollment system.
When is Optimum Medical Clinics Inc'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 March 31, 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 Optimum Medical Clinics Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Optimum Medical Clinics Inc. 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. The largest specialties are Internal Medicine (3), Family Practice (1) and Orthopedic Surgery (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Optimum Medical Clinics Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Optimum Medical Clinics Inc · NPI 1649354366
Family Medicine organization in Newport Beach, California. Organization record, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1649354366 (Entity type: Organization)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Park, MEDICAL DIRECTOR
## Practice location
- **Address:** 20072 SW BIRCH ST, STE 100, Newport Beach, CA 92660-0794
- **Phone:** (949) 757-1150 · **Fax:** (949) 757-1170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Family Practice (1), Orthopedic Surgery (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid GR0088240 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1649354366) · Data from the CMS NPPES public registry.