Unknown Individual – Emergency Medicine Physician, NPI 1487684833
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Mother's California Market, 24040, Camino Del Avion, Dana Point, Orange County, California, 92629, United States
STE A
MONARCH BEACH, CA 926294006
Phone: (949) 248-8900
Fax: (949) 248-8901
Type: Location
Irvine Boulevard, Tustin Ranch, Tustin, Orange County, California, 92602, United States
STE 204
TUSTIN, CA 927803432
Phone: (714) 389-5700
Fax: (714) 389-6973
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92629)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | CA | 81002 | Urinalysis, manual test | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Family Practice | CA | |
| Pediatric Medicine, Endocrinology | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| General Practice | CA | |
| Family Practice | CA | |
| Preventive Medicine | CA |
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