Organization Active NPI

Samaritana Medical Clinic East la Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1023469616
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75748 Issued in CA
Legal business name
SAMARITANA MEDICAL CLINIC EAST LA INC
Practice address
6007 Whittier Blvd
Los Angeles, CA 90022-4401
Phone
(323) 725-1144
NPI assigned
Jun 25, 2016
Last updated
Jul 18, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SAMARITANA MEDICAL CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
William Martinez, PA
Title
Vice President
Phone
(323) 725-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A75748 CA Primary

Addresses

Primary practice location

6007 Whittier Blvd
Los Angeles, CA 90022-4401

Mailing address

6007 Whittier Blvd
Los Angeles, CA 90022-4401
Phone (323) 725-1144

National Provider Directory

National Provider Directory
Part of
Samaritana Medical Clinic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1023469616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224401",
            "telephone_number": "323-725-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224401",
            "telephone_number": "323-725-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANA MEDICAL CLINIC EAST LA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITANA MEDICAL CLINIC INC",
        "enumeration_date": "2016-06-25",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-725-1144",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.