Citrus Medical Clinic Professional Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CITRUS MEDICAL CLINIC PROFESSIONAL CORP

Practice address

10900 Warner Ave Ste 111
Fountain Valley, CA 92708-3846

Phone

(714) 369-2554

NPI assigned

Apr 27, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alvaro Valenzuela

Title

General Manager

Phone

(559) 630-8444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duc Huu Nguyen, DO

  • Sports Medicine (Family Medicine) Physician
  • Perris, CA
  • NPI 1588779466
  Medicare reassignment Care Compare group NPD
• Malinda Marian Valenzuela

  • Registered Nurse
  • Perris, CA
  • NPI 1831717735
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1013605187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 111",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-369-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 111",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-369-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS MEDICAL CLINIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "559-630-8444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yani Chu, LMFT
• Kathy Chung
• Gina Ciaramitaro, RN
• Anahin Cipriano
• Circlemed Healthcare, a Medical Corporation
• City of Fountain Valley (Fountain Valley Fire Department)
• Civitas Med
• CJT Enterprises, Inc.
• Alexandra Elyse Clark
• Veronica Jean Clark, M.A. OTR/L SLPTC

• Primary Care Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.