Noble Community Medical Associates, Inc. of Mid

What Noble Community Medical Associates, Inc. of Mid does

Noble Community Medical Associates, Inc. of Mid-Orange County (legal entity: Orange County Physicians IPA Medical Group, Inc.) is an Independent Practice Association (IPA) that operates a network of more than 443 affiliated physicians, including pediatric, family, and general practitioners along with specialists, delivering primary, specialty, and urgent care across Orange County, Long Beach, and Los Angeles. Providers offer services in English, Spanish, Vietnamese, and Korean, and the IPA contracts with CalOptima, Health Net, Molina Healthcare, Blue Shield of California Promise Health Plan, Anthem Blue Cross, Wellcare, Central Health Plan, Champion Health Plans, and Astiva Health to serve Medi-Cal, Cal MediConnect (OneCare), and Medicare Advantage members; the network also participates in the DHCS Whole Child Model program for California Children's Services-eligible children.

The underlying technology stack is delivered primarily through HealthSmart MSO, Inc., which provides utilization management, provider portal access, claims processing via Office Ally (Payer ID HSM01) and EDI 837, and related administrative systems. Clinical decision-making is supported by Apollo Clinical Guidelines, an evidence-based criteria tool used by Medical Directors and Physician Reviewers, alongside case management, health education, free interpreting services, and defined referral turnaround service levels (5 business days for Medi-Cal/Cal MediConnect, 14 days for Medicare, 72 hours for urgent, 30 days for emergency specialty requests). Products extend across the CalOptima partnership module, Whole Child Model, utilization management, health education, urgent care referrals to Exer, and electronic claims submission.

Noble makes money through capitated (per-member-per-month) arrangements with contracted health plans, receiving PMPM payments for assigned members in exchange for providing or arranging the full scope of covered services through its affiliated provider panel. Go-to-market is channel-driven via health plan provider directories, plan handbooks, and member services rather than direct consumer marketing, and customer segments are concentrated in government-sponsored managed care populations including Medi-Cal, dual-eligible Cal MediConnect, and Medicare Advantage beneficiaries.

Name

Noble Community Medical Associates, Inc. of Mid

Legal name

Orange County Physicians IPA Medical Group, Inc., dba NOBLE COMMUNITY MEDICAL ASSOCIATES, INC. OF MID-ORANGE COUNTY

Website

https://noblemidoc.com

Company type

Private

Operating status

Operating

Short description

Noble Community Medical Associates of Mid-Orange County is an Independent Practice Association operating a 443+ provider network delivering primary, specialty, and urgent care to Medi-Cal, Cal MediConnect, and Medicare Advantage members across Orange County, Long Beach, and Los Angeles under capitated contracts with multiple health plans.

Ownership category

akta.pro rank

Product category

Managed Healthcare Services (Independent Practice Association)

NAICS

Offices of Physicians (62111), Individual and Family Services (6241), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)

akta.pro secondary industries

Patient Advocacy, Navigation & Access to Care (BPAGACAH), Rare Disease & Special Needs Support Organizations (BPAGACAM)

Keywords

• Managed care services
• Medi-Cal services
• Independent practice association
• Provider network
• Primary care services

Headquarters

HQ city

Cypress

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Managed Care Capitated Revenue: As an IPA medical group, Noble Mid-Orange County contracts with health plans (CalOptima, Health Net, Molina, Blue Shield, Anthem, Wellcare) under capitated arrangements to provide healthcare services to enrolled members. Revenue is generated through per-member-per-month (PMPM) capitated payments for assigned members.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Noble Mid-Orange County operates an Independent Practice Association (IPA) medical group that delivers managed healthcare services through a network of 443+ affiliated physicians (PCPs, pediatric, family, and specialty practitioners) to Medi-Cal, Cal MediConnect (OneCare), and Medicare Advantage members under capitated contracts with health plans including CalOptima, Health Net, Molina, Blue Shield, Anthem, and Wellcare across Orange County, Long Beach, and Los Angeles. Services are supported by utilization management, case management, health education, multilingual interpreting, urgent care referrals, and the Whole Child Model pediatric program, with administrative functions delivered by HealthSmart MSO.

Product overview

Noble Mid-Orange County is a healthcare provider network/IPA (Independent Practice Association) that operates as a unified platform of interconnected healthcare services. The core offering is a network of 443+ affiliated physicians (PCPs, specialists) serving Medi-Cal, Medicare, and Cal MediConnect members across Orange County, Long Beach, and Los Angeles. This core network is enhanced by integrated modules including CalOptima and Whole Child Model program partnerships, Utilization Management Services with defined referral turnaround times, Health Education Services, free interpreting services (English, Spanish, Vietnamese, Korean), a provider portal managed by HealthSmart MSO, Apollo Clinical Guidelines for evidence-based decision-making, urgent care referral coordination, and case management services. The organization also offers electronic claims submission through Office Ally clearinghouse and supports EDI 837 format submissions.

Differentiator

Problem solved

Functional benefit

Products and services

• Noble Mid-Orange County Provider Network

Quantifiable outcome

• Standard/Non-urgent referrals processed within 5 business days for Medi-Cal and Cal MediConnect
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Twelve partnerships are on record, tiered core and minor.

• California Department of Health Care Services (DHCS)coreStrategic or Co-development Partner · 1 July 2019DHCS implemented the Whole Child Model (WCM) program effective July 1, 2019, transitioning California Children's Services from Orange County Health Care Agency to CalOptima. Noble Mid-OC participates as a WCM provider network.
• CalOptimacoreStrategic or Co-development PartnerCalOptima is the primary Orange County health plan partner providing Medi-Cal, Cal MediConnect (OneCare), and other programs. Noble Mid-OC serves as a contracted provider network for CalOptima members, offering primary care, specialty care, and the Whole Child Model program for children with CCS conditions.
• Health NetcoreChannel Partner/ Reseller/ DistributorHealth Net is a major California health plan providing Medi-Cal, Medicare Advantage, and Covered California plans. Noble Mid-OC providers serve Health Net members in the region.
• Molina HealthcarecoreChannel Partner/ Reseller/ DistributorMolina Healthcare provides Medicaid and Medicare health plans. Noble Mid-OC providers deliver care to Molina members in Orange County and surrounding areas.
• Blue Shield of California Promise Health PlancoreChannel Partner/ Reseller/ DistributorBlue Shield Promise Health Plan offers Medi-Cal and other managed care plans. Noble Mid-OC providers are part of the Blue Shield Promise network.
• Anthem Blue CrosscoreChannel Partner/ Reseller/ DistributorAnthem Blue Cross provides Medicare Advantage and Medi-Cal plans in California. Noble Mid-OC providers serve Anthem members.
• WellcareminorChannel Partner/ Reseller/ DistributorWellcare offers Medicare Advantage and Medicaid plans. Noble Mid-OC providers serve Wellcare members in the service area.
• Central Health PlanminorChannel Partner/ Reseller/ DistributorCentral Health Plan provides Medicare Advantage plans. Noble Mid-OC is listed as a provider partner.
• Champion Health PlansminorChannel Partner/ Reseller/ DistributorChampion Health Plans offers health insurance products. Noble Mid-OC providers serve Champion Health Plan members.
• Astiva HealthminorChannel Partner/ Reseller/ DistributorAstiva Health is a Medicare Advantage plan. Noble Mid-OC is listed as a provider partner for Astiva Health members.
• HealthSmart MSO, Inc.coreImplementation/ SI/ Consulting PartnerHealthSmart MSO provides management services organization (MSO) functions including utilization management, claims processing, provider services, and technology platforms for Noble Mid-OC. The administrative relationship is co-located at the Cypress address.
• Exer Urgent CareminorStrategic or Co-development PartnerExer Urgent Care is an urgent care partner providing after-hours and weekend care options for Noble Mid-OC members. Referrals are facilitated through the provider portal or direct patient search.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• PIH Health Physicians: Multi-specialty physician group in Southern California operating an affiliated-provider model with contracts across multiple health plans including Medi-Cal. Comparable IPA structure and capitated revenue model serving diverse Southern California communities.
• Hill Physicians Medical Group: One of California's largest independent practice associations, contracting with multiple health plans including Medi-Cal managed care across Northern and Central California. Operates the same IPA model of affiliated physicians serving capitated members, with similar utilization management and care coordination functions.
• Heritage Provider Network: Large California-based physician network and IPA organization operating in Southern California with capitated contracts across Medi-Cal, Medicare, and commercial plans. Directly comparable business model and member populations to Noble Mid-Orange County.
• Sharp Community Medical Group: IPA in Southern California affiliated with Sharp HealthCare, contracting with multiple health plans including Medi-Cal and Medicare Advantage. Same capitated multi-specialty physician network model serving managed care members in a defined Southern California region.
• Facey Medical Foundation (Providence): Southern California multi-specialty medical group (now part of Providence) operating as an IPA with contracts across major health plans serving Los Angeles and Orange County. Direct geographic and operational overlap with Noble Mid-Orange County.
• MemorialCare Medical Group: Southern California physician network serving Orange County and surrounding areas with primary care, specialists, and contracted relationships with multiple health plans including Medi-Cal. Highly comparable regional IPA model in the same geography as Noble Mid-OC.

Regional players

• Riverside Medical Clinic: Large physician group in the Inland Empire region of Southern California with capitated contracts across Medi-Cal and Medicare Advantage. Comparable IPA model in an adjacent Inland Southern California market.

Others

• CalOptima: Orange County's Medi-Cal managed care health plan and Noble's primary contracting partner. Not a direct peer (health plan vs. IPA) but the most important counterparty relationship shaping Noble's revenue model and Whole Child Model participation.
• HealthSmart MSO: Management services organization providing utilization management, claims processing, and technology infrastructure to Noble Mid-OC. Not a peer but a critical operational enabler whose performance directly affects Noble's service delivery.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Noble Community Medical Associates, Inc. of Mid