Optimum Medical Clinics, Inc
NPI 1043520885ActiveOrganization· Non-Pharmacy Dispensing Site· Newport Beach, CA
Non-Pharmacy Dispensing Site in Newport Beach, California, registered in NPPES in October 2010, part of Optimum Medical Clinics, Inc. The authorized official on file is Samuel K. Park, M.D., Medical Director.
Overview
| NPI | 1043520885 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Optimum Medical Clinics, Inc |
| NPI issued | Oct 14, 2010 |
| Last updated in NPPES | Mar 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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