Organization Active NPI

Samaritana Medical Clinic 7TH Street Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1053799254
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAMARITANA MEDICAL CLINIC 7TH STREET INC
Practice address
2033 W 7TH St Ste 3
Los Angeles, CA 90057-4074
Phone
(213) 484-2288
Fax
(213) 484-2225
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Raymundo Romero, M.D.NPI 1568537314
Title
President
Phone
(213) 484-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

2033 W 7TH St Ste 3
Los Angeles, CA 90057-4074

Mailing address

2033 W 7TH St Ste 3
Los Angeles, CA 90057-4074
Phone (213) 484-2288

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2105039Samaritana Medical Clinic 7TH Street Inc2033 W 7TH St Ste 3, Los Angeles, CA 90057Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1053799254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W 7TH ST STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574074",
            "telephone_number": "213-484-2288",
            "fax_number": "213-484-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W 7TH ST STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574074",
            "telephone_number": "213-484-2288",
            "fax_number": "213-484-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANA MEDICAL CLINIC 7TH STREET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "RAYMUNDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.