SAN DIEGO PROFESSIONAL GROUP, P. C.
NPI 1699220004
Psychiatry & Neurology - Addiction Medicine in Aliso Viejo, CA

Q: What is San Diego Professional Group, P. C.'s NPI number?

The NPI number for San Diego Professional Group, P. C. is 1699220004. It was assigned to this organization in the NPPES registry on August 16, 2016.

Q: What is San Diego Professional Group, P. C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since August 16, 2016

24552 PACIFIC PARK DR, ALISO VIEJO, CA 92656(615) 727-8416(615) 457-8094 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Jan 27, 2021, Dec 27, 2017 and 1 more (4 updates tracked since 2016).

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About San Diego Professional Group, P. C. NPPES

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

SAN DIEGO PROFESSIONAL GROUP, P. C. (NPI 1699220004) is a healthcare organization registered as an addiction medicine in Aliso Viejo, California and active in the NPI registry since August 2016. The organization lists Mark Calarco, Facility Ceo, as its authorized official.

NPPES Registry Identity

NPI1699220004

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NameSAN DIEGO PROFESSIONAL GROUP, P. C.

Location Address24552 PACIFIC PARK DRAliso Viejo, CA 92656-3033

Mailing Address200 Powell Pl, Attn: Legal DepartmentBrentwood, TN 37027-7514 · (615) 732-1605

Phone(615) 727-8416

Fax(615) 457-8094

Organization SubpartNo

Authorized OfficialMark CalarcoFacility Ceo · (615) 712-5862

Enumeration DateAugust 16, 2016

Last NPPES UpdateAugust 25, 20214 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1699220004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in CA · 20A6119

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 20A6119 (CA)

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 20A6119 (CA)

24552 PACIFIC PARK DR, Aliso Viejo, CA 92656

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

LAGUNA TREATMENT HOSPITAL, LLC

Special Hospital

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 446-0090

YEN ANKER NP

Nurse Practitioner

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 565-2377

LILIAN ROSE BALLENTOS GUMBAN-SALDANA NP

Nurse Practitioner (Psychiatric/Mental Health)

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 446-0090

DR. EVAGGELOS GARY MITREVOLIS MD

Preventive Medicine (Addiction Medicine)

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 446-0099

HANS-ON RECOVERY, PLLC

Internal Medicine (Addiction Medicine)

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (518) 413-1600

ASHLEY YUSAM PA-C

Physician Assistant

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 565-2377

PRISM HEALTH INC.

Assisted Living Facility

24552 PACIFIC PARK DR, ELDERLY ASSISTED LIVING/MEMORY CARE-DIMENTIA
ALISO VIEJO, CA 92656

Orange County (949) 425-8300

HOLLY ANN OLALIA DNP, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 647-4618

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 San Diego Professional Group, P. C.'s NPI number?

The NPI number for San Diego Professional Group, P. C. is 1699220004. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is San Diego Professional Group, P. C. located?

San Diego Professional Group, P. C. is located at 24552 Pacific Park Dr, Aliso Viejo, CA 92656. The listed phone number is (615) 727-8416.

What is San Diego Professional Group, P. C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for San Diego Professional Group, P. C. was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.