South Coast Medical Group Family and Sports Medicine
NPI 1649337221 · Primary Care Clinic/Center · Aliso Viejo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Coast Medical Group Family and Sports Medicine is a Primary Care Clinic/Center organization in Aliso Viejo, CA (NPI 1649337221).
Provider details
- NPI number
- 1649337221
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johnna Gherardini, Executive Director(949) 360-1069
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- 2007-01-02
- Last updated
- 2015-07-30
Frequently asked questions
- What is South Coast Medical Group Family and Sports Medicine's NPI number?
- South Coast Medical Group Family and Sports Medicine's National Provider Identifier (NPI) is 1649337221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Coast Medical Group Family and Sports Medicine?
- South Coast Medical Group Family and Sports Medicine is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Coast Medical Group Family and Sports Medicine located?
- South Coast Medical Group Family and Sports Medicine's practice location on file with NPPES is 5 Journey Ste 130, Aliso Viejo, CA 92656-5330.
- What is South Coast Medical Group Family and Sports Medicine's phone number?
- The practice phone number listed in the NPPES registry for South Coast Medical Group Family and Sports Medicine is (949) 360-1069.
- Does South Coast Medical Group Family and Sports Medicine accept Medicare?
- South Coast Medical Group Family and Sports Medicine 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 Coast Medical Group Family and Sports Medicine?
- The authorized official listed on South Coast Medical Group Family and Sports Medicine's NPPES record is Johnna Gherardini, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Coast Medical Group Family and Sports Medicine's NPI active?
- Yes — South Coast Medical Group Family and Sports Medicine's NPI (1649337221) is active in the NPPES registry as of the last update on 2015-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.