Active NPI 1003809963 Individual Practitioner Male Practitioner

Dr. Kenneth Lloyd Rexinger , MD

Internal Medicine • San Clemente, CA

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Rexinger, MD is a registered Internal Medicine practitioner in San Clemente, CA. With approximately 37 years of clinical practice since graduating from Loma Linda University School Of Medicine in 1989, Dr. Rexinger provides healthcare services at the registered practice location at 831 VIA SUERTE.

Dr. Rexinger is affiliated with Providence Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

831 Via Suerte
Suite 102

San Clemente, CA 926736531

Telephone 9493645600

Fax 9493642231

Associated Practice Facility / Clinic

🏢 Rexinger Medical Group, Inc. Facility NPI 1023049459

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in San Clemente, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +4.7 yrs vs City Avg

City Avg: 32.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

17 Specialists

Practicing in San Clemente, CA (18502 Statewide)

Telehealth Adoption Rate

52.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rexinger (37 Years) 37 Yrs

San Clemente Specialty Average (32.3 Years) 32.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	585	286	$381.00	$137.93
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	271	150	$47.00	$17.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	211	140	$534.00	$192.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$388.00	$140.30
36415 Insertion of needle into vein for collection of blood sample	110	76	$24.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	105	81	$271.00	$98.46
G0008 Administration of influenza virus vaccine	29	29	$36.97	$35.02
90653 Vaccine for influenza for injection into muscle	26	26	$107.23	$81.82
80053 Blood test, comprehensive group of blood chemicals	25	24	$29.00	$10.35
71046 X-ray of chest, 2 views	22	20	$75.00	$26.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	21	$21.00	$7.61
84443 Blood test, thyroid stimulating hormone (TSH)	22	21	$46.00	$16.46
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$794.00	$291.62
80061 Blood test, lipids (cholesterol and triglycerides)	20	19	$37.00	$13.12
G0009 Administration of pneumococcal vaccine	19	19	$58.00	$35.02
83036 Hemoglobin A1C level	18	17	$27.00	$9.52
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$240.00	$80.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$491.00	$177.51
81001 Manual urinalysis test with examination using microscope, automated	14	14	$9.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	236	$345.00	$138.21
99213 Established patient office or other outpatient visit, typically 15 minutes	205	153	$245.00	$98.05
36415 Insertion of needle into vein for collection of blood sample	128	87	$13.00	$8.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	94	$485.00	$193.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$354.00	$140.36
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	92	74	$43.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	68	54	$32.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	68	57	$48.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	59	45	$43.00	$13.12
83036 Hemoglobin A1C level	56	37	$32.00	$9.52
81001 Manual urinalysis test with examination using microscope, automated	49	43	$13.00	$3.11
82306 Vitamin d-3 level	37	35	$85.00	$29.01
84439 Thyroxine (thyroid chemical), free	24	18	$34.00	$8.84
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$71.00	$18.92
G0008 Administration of influenza virus vaccine	19	19	$30.00	$29.40
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$133.00	$75.81
80048 Blood test, basic group of blood chemicals (calcium, total)	16	13	$24.00	$8.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$450.00	$178.38
82043 Urine microalbumin (protein) level	14	11	$39.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	14	11	$18.00	$5.08
71046 X-ray of chest, 2 views	12	11	$145.00	$27.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	206	$345.00	$142.47
99213 Established patient office or other outpatient visit, typically 15 minutes	290	199	$245.00	$100.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$354.00	$144.80
36415 Insertion of needle into vein for collection of blood sample	113	75	$13.00	$2.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	96	64	$485.00	$200.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	62	50	$43.00	$7.64
83036 Hemoglobin A1C level	51	33	$32.00	$9.46
80061 Blood test, lipids (cholesterol and triglycerides)	49	40	$43.00	$13.19
80053 Blood test, comprehensive group of blood chemicals	49	37	$32.00	$10.41
84443 Blood test, thyroid stimulating hormone (TSH)	42	38	$48.00	$16.54
81001 Manual urinalysis test with examination using microscope, automated	35	29	$13.00	$3.12
G0008 Administration of influenza virus vaccine	34	34	$30.00	$29.92
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	33	33	$133.00	$70.25
82306 Vitamin d-3 level	29	27	$85.00	$29.09
G0103 Prostate cancer screening; prostate specific antigen test (psa)	21	21	$71.00	$18.98
71046 X-ray of chest, 2 views	18	17	$145.00	$27.98
84439 Thyroxine (thyroid chemical), free	15	13	$34.00	$8.89
80048 Blood test, basic group of blood chemicals (calcium, total)	14	11	$24.00	$8.36
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	13	$56.00	$15.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	362	246	$132.00	$102.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	145	$195.00	$145.36
36415 Insertion of needle into vein for collection of blood sample	135	100	$13.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$223.00	$148.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	69	55	$43.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	68	54	$32.00	$10.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	45	$252.00	$202.28
84443 Blood test, thyroid stimulating hormone (TSH)	48	44	$48.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	47	42	$43.00	$13.39
83036 Hemoglobin A1C level	47	39	$32.00	$9.71
81001 Manual urinalysis test with examination using microscope, automated	40	39	$13.00	$3.17
84439 Thyroxine (thyroid chemical), free	29	27	$34.00	$9.02
71046 X-ray of chest, 2 views	21	21	$58.00	$27.60
82306 Vitamin d-3 level	19	19	$85.00	$29.60
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$88.00	$16.77
80048 Blood test, basic group of blood chemicals (calcium, total)	15	12	$24.00	$8.46
99496 Transitional care management services for problem of high complexity	12	12	$606.00	$306.28
84153 Psa (prostate specific antigen) measurement, total	12	12	$56.00	$18.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	513	232	$195.00	$121.45
99213 Established patient office or other outpatient visit, typically 15 minutes	446	294	$132.00	$83.89
36415 Insertion of needle into vein for collection of blood sample	224	151	$13.00	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$223.00	$131.06
80053 Blood test, comprehensive group of blood chemicals	136	108	$32.00	$10.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	123	97	$43.00	$7.73
80061 Blood test, lipids (cholesterol and triglycerides)	105	92	$43.00	$13.31
84443 Blood test, thyroid stimulating hormone (TSH)	100	92	$48.00	$16.70
81001 Manual urinalysis test with examination using microscope, automated	88	75	$13.00	$3.16
83036 Hemoglobin A1C level	66	47	$32.00	$9.64
90662 Influenza vaccine split virus, preservative free	64	62	$67.00	$60.50
G0008 Administration of influenza virus vaccine	64	62	$30.00	$18.93
84439 Thyroxine (thyroid chemical), free	45	41	$34.00	$8.95
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$88.00	$19.36
82306 Vitamin d-3 level	39	37	$85.00	$29.48
84436 Thyroxine (thyroid chemical), total	29	29	$20.00	$6.84
84153 Psa (prostate specific antigen) measurement, total	28	26	$56.00	$18.34
80048 Blood test, basic group of blood chemicals (calcium, total)	25	20	$24.00	$8.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$252.00	$161.83
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	18	16	$56.00	$15.83
81002 Urinalysis, manual test	18	16	$10.00	$3.46
82043 Urine microalbumin (protein) level	16	14	$39.00	$5.76
G0009 Administration of pneumococcal vaccine	15	14	$30.00	$18.93
84481 Thyroid hormone, t3 measurement, free	15	12	$60.00	$16.85
71046 X-ray of chest, 2 views	15	15	$58.00	$25.87
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$65.23	$19.22
82607 Cyanocobalamin (vitamin B-12) level	13	12	$45.00	$15.01
84403 Testosterone (hormone) level, total	13	11	$65.00	$25.73
82570 Creatinine level to test for kidney function or muscle injury	11	11	$18.00	$5.16
99496 Transitional care management services for problem of high complexity	11	11	$606.00	$256.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	662	297	$192.75	$120.55
36415 Insertion of needle into vein for collection of blood sample	342	171	$13.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	255	194	$130.24	$82.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$223.00	$129.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	177	126	$43.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	153	117	$32.00	$11.51
80061 Blood test, lipids (cholesterol and triglycerides)	148	109	$43.00	$14.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	103	$252.00	$160.75
83036 Hemoglobin A1C level	129	62	$32.00	$10.57
81001 Manual urinalysis test with examination using microscope, automated	122	106	$13.00	$3.45
84443 Blood test, thyroid stimulating hormone (TSH)	117	102	$48.00	$18.30
93000 Routine ekg using at least 12 leads including interpretation and report	100	93	$88.00	$19.15
80048 Blood test, basic group of blood chemicals (calcium, total)	91	54	$24.00	$9.21
G0008 Administration of influenza virus vaccine	68	68	$30.00	$18.58
90662 Influenza vaccine split virus, preservative free	68	68	$67.00	$54.81
82306 Vitamin d-3 level	64	62	$85.00	$32.23
84436 Thyroxine (thyroid chemical), total	56	56	$20.00	$7.48
84439 Thyroxine (thyroid chemical), free	50	38	$34.00	$9.82
71046 X-ray of chest, 2 views	44	40	$58.00	$24.34
84153 Psa (prostate specific antigen) measurement, total	44	32	$56.00	$20.03
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	39	39	$56.00	$17.32
81002 Urinalysis, manual test	26	22	$10.00	$3.41
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$66.80	$20.03
17000 Destruction of skin growth	23	18	$127.00	$70.71
G0009 Administration of pneumococcal vaccine	19	19	$30.00	$18.58
90670 Pneumococcal vaccine for injection into muscle	17	17	$292.00	$208.08
82043 Urine microalbumin (protein) level	15	14	$39.00	$6.29
69210 Removal of impacted ear wax	15	14	$89.00	$52.54
J1030 Injection, methylprednisolone acetate, 40 mg	14	11	$26.00	$6.38
82570 Creatinine level to test for kidney function or muscle injury	12	11	$18.00	$5.63
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	12	$29.00	$2.94
99496 Transitional care management services for problem of high complexity	11	11	$606.00	$257.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	281	$181.54	$118.22
36415 Insertion of needle into vein for collection of blood sample	309	168	$13.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	271	174	$122.75	$80.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$223.00	$128.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	150	122	$249.76	$158.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	132	101	$43.00	$9.40
80061 Blood test, lipids (cholesterol and triglycerides)	129	101	$43.00	$16.20
80053 Blood test, comprehensive group of blood chemicals	125	102	$32.00	$12.78
93000 Routine ekg using at least 12 leads including interpretation and report	109	103	$88.00	$18.91
83036 Hemoglobin A1C level	89	46	$32.00	$11.75
81001 Manual urinalysis test with examination using microscope, automated	89	79	$13.00	$3.84
G0008 Administration of influenza virus vaccine	83	79	$30.00	$23.13
84443 Blood test, thyroid stimulating hormone (TSH)	80	74	$48.00	$20.33
90662 Influenza vaccine split virus, preservative free	79	75	$67.00	$52.08
80048 Blood test, basic group of blood chemicals (calcium, total)	65	42	$24.00	$10.23
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	40	36	$56.00	$19.25
82306 Vitamin d-3 level	39	39	$85.00	$35.82
84439 Thyroxine (thyroid chemical), free	33	27	$34.00	$10.91
71046 X-ray of chest, 2 views	29	26	$71.24	$22.80
84436 Thyroxine (thyroid chemical), total	25	25	$20.00	$8.31
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$61.87	$22.26
84153 Psa (prostate specific antigen) measurement, total	20	18	$56.00	$22.26
G0009 Administration of pneumococcal vaccine	19	19	$30.00	$23.13
81002 Urinalysis, manual test	18	18	$10.00	$3.41
82607 Cyanocobalamin (vitamin B-12) level	16	15	$45.00	$18.24
90670 Pneumococcal vaccine for injection into muscle	14	14	$292.00	$201.01
82728 Ferritin (blood protein) level	14	11	$42.00	$16.49
82746 Folic acid level	13	13	$46.00	$17.79
20610 Aspiration and/or injection of fluid from large joint	13	12	$159.00	$66.00
J1030 Injection, methylprednisolone acetate, 40 mg	12	12	$26.00	$6.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	619	257	$168.00	$118.23
99213 Established patient office or other outpatient visit, typically 15 minutes	345	230	$115.00	$80.65
36415 Insertion of needle into vein for collection of blood sample	280	151	$13.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	163	157	$228.00	$159.00
80053 Blood test, comprehensive group of blood chemicals	124	90	$32.00	$11.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	123	91	$43.00	$10.45
93000 Routine ekg using at least 12 leads including interpretation and report	99	94	$88.00	$19.09
80061 Blood test, lipids (cholesterol and triglycerides)	93	73	$43.00	$14.51
84443 Blood test, thyroid stimulating hormone (TSH)	82	73	$48.00	$22.59
81001 Manual urinalysis test with examination using microscope, automated	71	64	$13.00	$4.26
83036 Hemoglobin A1C level	69	34	$32.00	$13.05
G0008 Administration of influenza virus vaccine	65	64	$30.00	$29.24
90662 Influenza vaccine split virus, preservative free	64	63	$67.00	$47.86
80048 Blood test, basic group of blood chemicals (calcium, total)	47	30	$24.00	$10.86
81002 Urinalysis, manual test	44	39	$10.00	$3.43
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	30	29	$56.00	$21.38
82306 Vitamin d-3 level	29	25	$85.00	$39.80
84439 Thyroxine (thyroid chemical), free	28	22	$34.00	$12.12
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$29.24
90670 Pneumococcal vaccine for injection into muscle	21	21	$281.00	$186.09
71020 X-ray of chest, 2 views, front and side	21	17	$69.00	$20.17
82728 Ferritin (blood protein) level	15	11	$42.00	$18.33
83540 Iron level	14	11	$17.00	$8.70
85652 Red blood cell sedimentation rate, to detect inflammation, automated	13	11	$29.00	$3.63
82270 Stool analysis for blood to screen for colon tumors	13	13	$12.00	$4.37
84153 Psa (prostate specific antigen) measurement, total	13	11	$56.00	$24.73

Medical Specialties & State Licenses

CMS Verified: 2021-11-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G69073

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Providence Medical Foundation

395 W Avenida Vista Hermosa, San Clemente, CA 926727720

Phone: 9493042117

Providence Medical Foundation

24321 Avenida De La Carlota, Laguna Hills, CA 926533681

Phone: 9492043006

Providence Medical Foundation

831 Via Suerte, San Clemente, CA 926736531

Phone: 9493645600

Providence Medical Foundation

28881 Airoso St, Rancho Mission Viejo, CA 926942487

Phone: 9493041716

Providence Medical Foundation

26800 Crown Valley Pkwy, Mission Viejo, CA 926916384

Providence Medical Foundation

1950 Sunny Crest Dr, Fullerton, CA 928353641

Phone: 7149925350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Daniel Depmore , PA

Physician Assistant - Medical

NPI 1336151224

Physician Assistant

Dr. Elwyn Rexinger , MD

Family Medicine

NPI 1578555215

Doctor of Medicine (M.D.)

Dr. Karen Garner , MD

Internal Medicine

NPI 1770639189

Doctor of Medicine (M.D.)

Kelly Fee , PA

Physician Assistant - Medical

NPI 1831478742

Physician Assistant

Dr. Torsten Kruse , MD

Internal Medicine

NPI 1972644482

Doctor of Medicine (M.D.)

Alice Wang , PA-C

Physician Assistant

NPI 1992210660

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2015

Registered at 831 VIA SUERTE, SUITE 102, SAN CLEMENTE, CA 926736531 (Tel: 9493645600)

📍

Updated Business Mailing Address November 04, 2015

Registered at 831 VIA SUERTE, SUITE 102, SAN CLEMENTE, CA 926736531 (Tel: 9493645600)

👤

Provider Name / Credentials Updated November 04, 2015

Recorded as KENNETH REXINGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2015

Internal Medicine (License #G69073 in CA)

🟢

Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003809963

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2005

Last Update: November 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

831 Via Suerte, Suite 102

San Clemente, CA 926736531

Phone: 9493645600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.