South County Urgent Care Medical Corporation
NPI 1083822639 · Emergency Medicine Physician · San Clemente, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South County Urgent Care Medical Corporation is a Emergency Medicine Physician organization in San Clemente, CA (NPI 1083822639).
Provider details
- NPI number
- 1083822639
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Gentile, Ceo(949) 218-8050
- License
- FNP30274 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2018-03-26
Frequently asked questions
- What is South County Urgent Care Medical Corporation's NPI number?
- South County Urgent Care Medical Corporation's National Provider Identifier (NPI) is 1083822639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South County Urgent Care Medical Corporation?
- South County Urgent Care Medical Corporation is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South County Urgent Care Medical Corporation located?
- South County Urgent Care Medical Corporation's practice location on file with NPPES is 1300 Avenida Vista Hermosa, San Clemente, CA 92673-6315.
- What is South County Urgent Care Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for South County Urgent Care Medical Corporation is (949) 218-8050.
- Does South County Urgent Care Medical Corporation accept Medicare?
- South County Urgent Care Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South County Urgent Care Medical Corporation?
- The authorized official listed on South County Urgent Care Medical Corporation's NPPES record is John Gentile, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South County Urgent Care Medical Corporation's NPI active?
- Yes — South County Urgent Care Medical Corporation's NPI (1083822639) is active in the NPPES registry as of the last update on 2018-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.