SOUTHERN CALIFORNIA MEDICAL SPECIALISTS, INC.
NPI 1689811069
Clinic/Center - Medical Specialty in Santa Ana, CA

Active since January 07, 2009
1625 E 17TH ST STE 100, SANTA ANA, CA 92705(714) 543-9555(714) 543-9595 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About SOUTHERN CALIFORNIA MEDICAL SPECIALISTS, INC.

This page provides the complete NPI Profile along with additional information for Southern California Medical Specialists, Inc., a provider established in Santa Ana, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1689811069 assigned on January 2009. The practitioner's primary taxonomy code is 261QM2500X with license number A65424 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Vaishali Sanjay Deshmukh (Office Manager)

NPI
1689811069 Verify this NPI
Provider Name
SOUTHERN CALIFORNIA MEDICAL SPECIALISTS, INC.
Entity Type
Organization
Location Address
1625 E 17TH ST STE 100 SANTA ANA, CA 92705
Location Phone
(714) 543-9555
Location Fax
(714) 543-9595
Mailing Address
1625 E 17TH ST STE 100 SANTA ANA, CA 92705
Mailing Phone
(714) 543-9555
Mailing Fax
(714) 543-9595
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2009
Last Update Date
01-07-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
A65424
License State
CA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. VAISHALI SANJAY DESHMUKH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(714) 543-9555

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H17169MEDICARE UPIN (02)CA 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Massage Therapist
1625 E 17TH ST STE 100
SANTA ANA, CA 92705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689811069, enumerated as an "organization" on January 07, 2009.

The provider is located at 1625 E 17TH ST STE 100 SANTA ANA, CA 92705 and the phone number is (714) 543-9555.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.