SOUTH ORANGE COUNTY GASTROENTEROLOGY INC
NPI 1861612293
Internal Medicine - Gastroenterology in Mission Viejo, CA

Active since April 26, 2007
26691 PLAZA STE 150, MISSION VIEJO, CA 92691(949) 348-2900(949) 348-0960 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2020, Nov 19, 2018 (2 updates tracked since 2018).

About South Orange County Gastroenterology Inc NPPES

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

SOUTH ORANGE COUNTY GASTROENTEROLOGY INC (NPI 1861612293) is a healthcare organization registered as a gastroenterology in Mission Viejo, California and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Mission Viejo and lists Nader Mirhoseni, President, as its authorized official.

NPPES Registry Identity

NPI1861612293
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTH ORANGE COUNTY GASTROENTEROLOGY INC
Location Address26691 PLAZA STE 150Mission Viejo, CA 92691-6329
Mailing Address26691 Plaza Ste 150Mission Viejo, CA 92691-6347 · (949) 348-2900 · Fax (949) 348-0960
Fax(949) 348-0960
Organization SubpartNo
Authorized OfficialNader MirhoseniPresident · (949) 348-2900
Enumeration DateApril 26, 2007
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1861612293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A85775
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
26691 PLAZA STE 150, Mission Viejo, CA 92691

Secondary Practice Location 1

Location 126921 Crown Valley Pkwy, Suite 201Mission Viejo, CA 92691-6501 · Phone (949) 348-2900 · Fax (949) 348-0960

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Orange County Gastroenterology 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20070625000737Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Orange County Gastroenterology Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Colorectal Surgery (Proctology)
NPI 1881035814
26691 PLAZA STE 150
Mission Viejo, CA 92691
(949) 348-2900
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1588645964
26691 PLAZA STE 150
Mission Viejo, CA 92691
(949) 348-2900
✔ PECOSSame address
Nurse Practitioner
NPI 1790204758
5865 E NAPLES PLZ
Long Beach, CA 90803
(562) 434-4481
✔ PECOS29 mi

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 Orange County Gastroenterology Inc's NPI number?

The NPI number for South Orange County Gastroenterology Inc is 1861612293. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is South Orange County Gastroenterology Inc located?

South Orange County Gastroenterology Inc is located at 26691 Plaza Ste 150, Mission Viejo, CA 92691. The listed phone number is (949) 348-2900.

What is South Orange County Gastroenterology Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is South Orange County Gastroenterology Inc enrolled in Medicare?

Yes. South Orange County Gastroenterology Inc is registered in the Medicare PECOS enrollment system.

When is South Orange County Gastroenterology 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 Orange County Gastroenterology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Orange County Gastroenterology Inc, in Colorectal Surgery (Proctology), Gastroenterology 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.

When was this NPI record last updated?

The NPPES record for South Orange County Gastroenterology Inc was last updated on October 21, 2020. 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.