Ocean Breeze Medical Group, Inc.
NPI 1386790400ActiveOrganization· Family Medicine· San Clemente, CA
Family Medicine in San Clemente, California, registered in NPPES in January 2007. The authorized official on file is Ricardo Davalos, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386790400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2007 |
| Last updated in NPPES | Dec 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A065157 | 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) |
|---|
Other Family Medicine providers in San Clemente
- 1750528170
- 1093126609
- 1427159383
- 1457382731
- 1356353502
- 1598104069
- 1225298573
- 1770867863
- 1972623759
- 1154642452
- 1497639686
- 1982945085