MISSION FAMILY PRACTICE INC
NPI 1720480247
Family Medicine in Mission Viejo, CA
About Mission Family Practice Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSION FAMILY PRACTICE INC (NPI 1720480247) is a healthcare organization registered as a family medicine in Mission Viejo, California and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Jeffrey J. Globus, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mission Family Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mission Family Practice Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2094064
Mission Family Practice · Mission Viejo, CAFrequently 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 Mission Family Practice Inc's NPI number?
The NPI number for Mission Family Practice Inc is 1720480247. It was assigned to this organization in the NPPES registry on September 16, 2014.
Where is Mission Family Practice Inc located?
Mission Family Practice Inc is located at 26902 Oso Pkwy Suite 140, Mission Viejo, CA 92691. The listed phone number is (949) 916-8870.
What is Mission Family Practice Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mission Family Practice Inc enrolled in Medicare?
Yes. Mission Family Practice Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission Family Practice Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mission Family Practice Inc, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mission Family Practice Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2094064) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mission Family Practice Inc was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mission Family Practice Inc · NPI 1720480247
Family Medicine organization in Mission Viejo, California. Organization record, active in the CMS NPPES registry since September 16, 2014.
## Identity
- **NPI:** 1720480247 (Entity type: Organization)
- **Enumerated:** September 16, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Globus, OWNER
## Practice location
- **Address:** 26902 OSO PKWY, SUITE 140, Mission Viejo, CA 92691-5801
- **Phone:** (949) 916-8870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1720480247) · Data from the CMS NPPES public registry.