1. Home
  2. Directory
  3. California
  4. Lake Elsinore
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

DANESH MEDICAL GROUP
NPI 1710242474
Non-Pharmacy Dispensing Site in Lake Elsinore, CA

Active since July 09, 2012
31581 CANYON ESTATES DR, LAKE ELSINORE, CA 92532(951) 244-3500 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Danesh Medical Group NPPES

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

DANESH MEDICAL GROUP (NPI 1710242474) is a healthcare organization registered as a non-pharmacy dispensing site in Lake Elsinore, California and active in the NPI registry since July 2012. The organization lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1710242474
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSOUTHERN CALIFORNIA PRIMARY CARE CANYON LAKE URGENT & FAMILY CARE
Location Address31581 CANYON ESTATES DRLake Elsinore, CA 92532-0424
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(951) 244-3500
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Ops · (858) 964-1506
Enumeration DateJuly 9, 2012
Last NPPES UpdateOctober 25, 2012
✔ NPI 1710242474 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 · A48943
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.)
31581 CANYON ESTATES DR, Lake Elsinore, CA 92532
Open in Google Maps ↗

Other Names 1

Doing Business AsDanesh Medical Group

Other Providers at the Same Location NPPES 6

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

RYAN JACOBS PA-C
Physician Assistant (Medical)
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Riverside County (951) 244-3500
SOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC
Family Medicine
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Riverside County (951) 244-3500
VINCENT LIERAS PA
Physician Assistant
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Riverside County (951) 244-3500
KUN SAVILLE
Physician Assistant
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Riverside County (951) 244-3500
NAVDEEP KAUR GILL PA-C
Physician Assistant (Medical)
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Riverside County (951) 244-3500
DR. MOHAMMAD REZA DANESH M.D.
Family Medicine
31581 CANYON ESTATES DR
LAKE ELSINORE, CA 92532
Riverside County (951) 244-3500

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 Southern California Primary Care Canyon Lake Urgent & Family Care's NPI number?

The NPI number for Southern California Primary Care Canyon Lake Urgent & Family Care is 1710242474. It was assigned to this organization in the NPPES registry on July 9, 2012. The provider is doing business as Danesh Medical Group.

Where is Southern California Primary Care Canyon Lake Urgent & Family Care located?

Southern California Primary Care Canyon Lake Urgent & Family Care is located at 31581 Canyon Estates Dr, Lake Elsinore, CA 92532. The listed phone number is (951) 244-3500.

What is Southern California Primary Care Canyon Lake Urgent & Family Care'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 Southern California Primary Care Canyon Lake Urgent & Family Care was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.