NAICS 621111

Physician Practices in Rancho Santa Margarita, CA

The 1 ZIP codes assigned to Rancho Santa Margarita contained 12 Medical Practice establishments in 2023.

Establishments (2023)
12
1 ZIP codes
10 or more employees
n/a
Practical financing floor
Share of county
0%
Orange County
City population
45,779
2025 estimate

Figures cover the ZIP codes the U.S. Postal Service assigns to Rancho Santa Margarita (92688). ZIP areas are not municipal boundaries: they can extend beyond city limits and are shared between neighbouring places. This is a count of establishments in Rancho Santa Margarita's ZIP codes, not a count of businesses inside its city limits.

Establishments by size

Employee-count distribution. For most buyers the businesses worth pursuing sit in the 5 to 49 range: large enough to have a manager and real systems, small enough to be owner-operated.

EmployeesEstablishmentsShareDistribution
1-4866.7%
5-9325.0%

How this market compares

Rancho Santa Margarita against every other city in California on the same measure. City figures cover the ZIP codes assigned to the place rather than its municipal boundary, so they are compared as a share of the businesses in those same ZIP codes rather than per resident. Cities with fewer than 500 businesses in total are left unranked.

Thinly served1.04% of local businesses, against 2.85% statewide

A far smaller slice of the local business base than the statewide share. Either a genuine gap in provision or a market served from somewhere nearby. Worth checking the neighbouring places below before drawing a conclusion.

Vs state share
-64%
Share of local businesses
Rank by count
#270
of 373 cities
Rank by share
#258
of 297 ranked
Since 2020
-8%
Change in establishments

This compares how much of Rancho Santa Margarita’s business base is physician practices, against the California figure. Base: 1,156 establishments across all industries in the same ZIP codes, 2023. It does not measure revenue, profitability or whether a market is worth entering.

Business size mix

Rancho Santa Margarita tracks the California size distribution closely.

Share of establishmentsRancho Santa MargaritaCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer66.7%65.6%+1.0%
5 to 49 employeesThe range most individual buyers target25.0%27.4%-2.4%
10 or more employeesPractical floor for acquisition financing0.0%12.9%-12.9%

Nearest comparable markets

The closest places to Rancho Santa Margarita that also have Medical Practice establishments on record. Useful for spotting a gap next door, or realising the market you are looking at is already served from the town over.

MarketEstablishmentsVs state share
Mission Viejo141+65%
Lake Forest33-48%
Laguna Hills129+138%
Laguna Woods9n/a
Aliso Viejo42+2%

The wider Orange County market

Employment and payroll are reported at county level only, so the figures below describe the county Rancho Santa Margarita sits in.

County establishments (2023)
3,946
Orange County
County employees
26,896
Mid-March employment
County annual payroll
$2.7B
All establishments
Full Medical Practice data for Orange County

What acquirers look at

California’s corporate practice of medicine doctrine restricts lay ownership, so deals are structured as MSO arrangements. Not a first acquisition for an unlicensed buyer.

Other industries in Rancho Santa Margarita

Nearby cities

Sources

  1. U.S. Census Bureau, 2023 ZIP Code Business Patterns. Establishment counts and size distribution by ZIP code and NAICS, aggregated over the ZIP codes assigned to each city. Retrieved 2026-09-08.
  2. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  3. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.