SOUTH COAST FAMILY MEDICINE, INC
NPI 1821115817
Clinic/Center - Primary Care in Santa Ana, CA
About South Coast Family Medicine, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH COAST FAMILY MEDICINE, INC (NPI 1821115817) is a healthcare organization registered as a primary care in Santa Ana, California and active in the NPI registry since March 2007. The organization lists Roxana P Minkus, Family Practice, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
South Coast Family Medicine, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Coast Family Medicine, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 South Coast Family Medicine, Inc's NPI number?
The NPI number for South Coast Family Medicine, Inc is 1821115817. It was assigned to this organization in the NPPES registry on March 23, 2007.
Where is South Coast Family Medicine, Inc located?
South Coast Family Medicine, Inc is located at 2650 S Bristol St 105, Santa Ana, CA 92704. The listed phone number is (714) 800-1919.
What is South Coast Family Medicine, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is South Coast Family Medicine, Inc enrolled in Medicare?
Yes. South Coast Family Medicine, Inc is registered in the Medicare PECOS enrollment system.
When is South Coast Family Medicine, 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 February 28, 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 South Coast Family Medicine, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to South Coast Family Medicine, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Coast Family Medicine, Inc was last updated on December 13, 2019. 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.
# South Coast Family Medicine, Inc · NPI 1821115817
Primary Care organization in Santa Ana, California. Organization record, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1821115817 (Entity type: Organization)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Roxana Minkus, FAMILY PRACTICE
## Practice location
- **Address:** 2650 S BRISTOL ST, 105, Santa Ana, CA 92704-5751
- **Phone:** (714) 800-1919 · **Fax:** (714) 800-1924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2019
- **Other identifiers:** Medicaid 00AX66720A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1821115817) · Data from the CMS NPPES public registry.