South County Urgent Care Medical Corporation
NPI 1083822639ActiveOrganization· Emergency Medicine· San Clemente, CA
Emergency Medicine in San Clemente, California, registered in NPPES in May 2007. The authorized official on file is John Gentile, M.D., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083822639 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2007 |
| Last updated in NPPES | Mar 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | FNP30274 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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