Southern California Primary Care Medical Group, Inc
NPI 1376632281 · Family Medicine Physician · Lake Elsinore, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern California Primary Care Medical Group, Inc is a Family Medicine Physician organization in Lake Elsinore, CA (NPI 1376632281).
Provider details
- NPI number
- 1376632281
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammad Danesh, Director(951) 244-3500
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
Other names (DBA / former)
- Doing business as
- Canyon Lake Urgent & Family Care
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2025-09-02
- Certified
- 2025-05-14
Frequently asked questions
- What is Southern California Primary Care Medical Group, Inc's NPI number?
- Southern California Primary Care Medical Group, Inc's National Provider Identifier (NPI) is 1376632281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern California Primary Care Medical Group, Inc?
- Southern California Primary Care Medical Group, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern California Primary Care Medical Group, Inc located?
- Southern California Primary Care Medical Group, Inc's practice location on file with NPPES is 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424.
- What is Southern California Primary Care Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southern California Primary Care Medical Group, Inc is (951) 244-3500.
- Does Southern California Primary Care Medical Group, Inc accept Medicare?
- Southern California Primary Care Medical Group, Inc 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 Southern California Primary Care Medical Group, Inc?
- The authorized official listed on Southern California Primary Care Medical Group, Inc's NPPES record is Mohammad Danesh, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern California Primary Care Medical Group, Inc's NPI active?
- Yes — Southern California Primary Care Medical Group, Inc's NPI (1376632281) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.