Healthcare Provider Details

I. General information

NPI: 1841473485
Provider Name (Legal Business Name): NICHOLAS JAUREGUI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27725 SANTA MARGARITA PKWY STE 220
MISSION VIEJO CA
92691-6707
US

IV. Provider business mailing address

27725 SANTA MARGARITA PKWY STE 220
MISSION VIEJO CA
92691-6707
US

V. Phone/Fax

Practice location:
  • Phone: 877-830-7328
  • Fax: 877-830-7469
Mailing address:
  • Phone: 877-830-7328
  • Fax: 877-830-7469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA62786
License Number StateCA

VIII. Authorized Official

Name: NICHOLAS JOHN JAUREGUI
Title or Position: OWNER
Credential: MD
Phone: 877-830-7328