Clinica Familia de Santa Maria Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8738 Issued in CA

Legal business name

CLINICA FAMILIA DE SANTA MARIA INC

Practice address

935 E Pennsylvania Ave
Escondido, CA 92025-3425

Phone

(760) 747-7512

NPI assigned

Feb 13, 2008

Last updated

Apr 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ving Yam, D.O.NPI 1912941824

Title

Ceo

Phone

(760) 747-7512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ving Yam, D.O.

  • Family Medicine Physician
  • Escondido, CA
  • NPI 1912941824
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1033387956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253425",
            "telephone_number": "760-747-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253425",
            "telephone_number": "760-747-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIA DE SANTA MARIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "YAM",
        "authorized_official_first_name": "VING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-747-7512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.