Organization Active NPI

Santaclara Medical Services,Inc

  • Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1063899219
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SANTACLARA MEDICAL SERVICES,INC
Practice address
1956 Marseille Dr
Apt # 8
Miami Beach, FL 33141-3425
Phone
(786) 261-8872
Fax
(305) 631-1419
NPI assigned
Apr 27, 2015
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Ydania SantaclaraNPI 1346670494
Title
Arnp-BC
Phone
(786) 261-8872

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

1956 Marseille Dr
Apt # 8
Miami Beach, FL 33141-3425

Mailing address

1956 Marseille Dr
Apt # 8
Miami Beach, FL 33141-3425
Phone (786) 261-8872

Other identifiers 2

IdentifierTypeStateIssuer
IB153AOtherFLMEDICARE PTAN
013478200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1063899219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 MARSEILLE DR",
            "address_2": "APT # 8",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413425",
            "telephone_number": "786-261-8872",
            "fax_number": "305-631-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 MARSEILLE DR",
            "address_2": "APT # 8",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413425",
            "telephone_number": "786-261-8872",
            "fax_number": "305-631-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTACLARA MEDICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "SANTACLARA",
        "authorized_official_first_name": "YDANIA",
        "authorized_official_title_or_position": "ARNP-BC",
        "authorized_official_telephone_number": "786-261-8872"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IB153A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013478200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.