California Functional Internal Medicine Clinic LLC
NPI 1609633049 · Internal Medicine Physician · Lake Forest, CA
California Functional Internal Medicine Clinic LLC is a Internal Medicine Physician organization in Lake Forest, CA (NPI 1609633049).
Provider details
- NPI number
- 1609633049
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammed Ansari, Managing Member(816) 585-4373
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
2 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
- 2024-03-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-02
Frequently asked questions
- What is California Functional Internal Medicine Clinic LLC's NPI number?
- California Functional Internal Medicine Clinic LLC's National Provider Identifier (NPI) is 1609633049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is California Functional Internal Medicine Clinic LLC?
- California Functional Internal Medicine Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is California Functional Internal Medicine Clinic LLC located?
- California Functional Internal Medicine Clinic LLC's practice location on file with NPPES is 22972 El Toro Rd, Lake Forest, CA 92630-4961.
- What is California Functional Internal Medicine Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for California Functional Internal Medicine Clinic LLC is (816) 585-4373.
- Who is the authorized official for California Functional Internal Medicine Clinic LLC?
- The authorized official listed on California Functional Internal Medicine Clinic LLC's NPPES record is Mohammed Ansari, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is California Functional Internal Medicine Clinic LLC's NPI active?
- Yes — California Functional Internal Medicine Clinic LLC's NPI (1609633049) is active in the NPPES registry as of the last update on 2024-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.