Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Clemente Family Medicine

Organization Family Medicine Physician · NPI 1154642452

San Clemente Family Medicine is a Family Medicine Physician in San Clemente, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1300 Avenida Vista Hermosa Ste 200
San Clemente, CA 92673-6315
Phone: (949) 452-3199
Fax: (949) 218-6866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1154642452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Melvin — President/Ceo · (562) 933-0055
Other names Memorial Family Medicine Medical Group, Inc.
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 21, 2010
Mailing address450 E Spring St, Suite 1, Long Beach, CA 90806-1625

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