SAN CRISTOBAL MEDICAL GROUP (NPI# 1265482780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265482780 |
| Entity Type | Organization |
| Organization Name | SAN CRISTOBAL MEDICAL GROUP |
| Practice Address |
9914 San Juan Ave South Gate CA 90280-6108 |
| Mailing Address |
1930 Wilshire Blvd Suite 405 Los Angeles CA 90057-3605 |
| Practice Telephone | 2134134203 |
| Practice Fax Number | 2134135615 |
| Mailing Telephone | 2134134203 |
| Mailing Fax Number | 2134135615 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANIBAL FALLA (CEO) |
| Authorized Official Telephone | 2134134203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553493 | San Cristobal Medical Group | Clinic/Center | 1061 E Vernon Ave, Los Angeles, CA 90011-3772 | 2006-05-12 |
| 1770533655 | San Cristobal Medical Group | General Practice | 1930 Wilshire Blvd, Suite 405, Los Angeles, CA 90057-3605 | 2006-05-11 |
| 1225088123 | San Cristobal Medical Group | Clinic/Center | 1037 E Pacific Coast Hwy, Los Agneles, CA 90744 | 2006-05-11 |
| 1548314610 | San Cristobal Medical Group | Health Maintenance Organization | 880 S Atlantic Blvd, Suite 201, Monterey Park, CA 91754-4700 | 2007-01-23 |
| Street Address |
9914 SAN JUAN AVE |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-6108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271830 | Mission San Juan Medical Clinic | General Practice | 9914 San Juan Ave, South Gate, CA 90280-6108 | 2008-07-02 |
| 1598711046 | Prof.imaging Grpoup, Inc | Radiology | 9914 San Juan Ave, South Gate, CA 90280-6108 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| 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 |
|---|---|---|---|---|
| 1801992565 | San Miguel Medical Clinic, Inc | Clinic/Center | 8204 Long Beach Blvd, Suite B, South Gate, CA 90280-2011 | 2006-09-16 |
| 1477100378 | Advanced Care Orthopedics | Clinic/Center | 4067 Tweedy Blvd, South Gate, CA 90280-6146 | 2019-08-25 |
| 1801138698 | Yehowa Medical Services | Clinic/Center | 5720 Imperial Hwy, Suite N-o, South Gate, CA 90280-7518 | 2013-03-20 |
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| Find all providers with the same taxonomy | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
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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.