SAN MARTIN DE PORRES MEDICAL CENTER INC (NPI# 1194289967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194289967 |
| Entity Type | Organization |
| Organization Name | SAN MARTIN DE PORRES MEDICAL CENTER INC |
| Practice Address |
9315 Telegraph Rd Pico Rivera CA 90660-5424 |
| Mailing Address |
7615 Eastern Ave Bell Gardens CA 90201-4509 |
| Practice Telephone | 5626546855 |
| Mailing Telephone | 5629271307 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | ANGELA S CHAN (PRESIDENT) |
| Authorized Official Telephone | 5626546855 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
9315 TELEGRAPH RD |
| City | PICO RIVERA |
| State | CA |
| Zip Code | 90660-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467472035 | Francisco Edgardo Paredes | General Practice | 9315 Telegraph Rd, Pico Rivera, CA 90660-5424 | 2006-07-19 |
| 1215953609 | San Martin De Porres Medical Clinic Inc | General Practice | 9315 Telegraph Rd, Pico Rivera, CA 90660-5424 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035705 | Breanna Marie Rodriguez | Social Worker | 4559 Bridgeview Avenue, Pico Rivera, CA 90660 | 2017-07-14 |
| 1538610928 | Ilce Guadalupe Lopez | Specialist | 7406 Rosemead Blvd. Apt 24, Pico Rivera, CA 90660 | 2016-10-20 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1376900340 | Cristian Gandara | Behavioral Analyst | 9625 Lochinvar Dr, Pico Rivera, CA 90660 | 2016-01-21 |
| 1306231352 | Shi Yan Xu | Acupuncturist | 9900 Tagus St., #27, Pico Rivera, CA 90660 | 2015-04-06 |
| 1174947873 | Spine & Joint Solutions | Chiropractor | 2739 Berkshire Rd, Pico Rivera, CA 90660 | 2014-02-17 |
| 1972938157 | Loreta Melkumyan | Student in an Organized Health Care Education/Training Program | 9101 Whittier Blvd., Pico Rivera, CA 90660 | 2013-09-06 |
| 1467702365 | Daisy Cruz | Counselor | 8743 Warvale St., Pico Rivera, CA 90660 | 2012-09-18 |
| 1508138850 | Laura Chow | Pharmacist | 8900 Washington Ave., Pico Rivera, CA 90660 | 2012-02-02 |
| 1386960060 | Medihand Acupuncture, Inc | Acupuncturist | 9519 Telegraph Rd. Suite A, Pico Rivera, CA 90660 | 2010-04-20 |
| Find all providers in zip 90660 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428828 | Southern California Medical Center, Inc. | Clinic/Center | 8825 Whittier Blvd, Pico Rivera, CA 90660-2600 | 2010-05-18 |
| 1932253861 | Anees Fatima | Clinic/Center | 8825 Whittier Blvd, Pico Rivera, CA 90660 | 2007-01-22 |
| 1770502411 | Santosh K. Sen | Clinic/Center | 8337 Telegraph Rd, 225, Pico Rivera, CA 90660-4909 | 2006-07-19 |
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| Find all providers with the same taxonomy | ||||
| City | PICO RIVERA |
| Zip Code | 90660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.