Samaritana Medical Clinic, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SAMARITANA MEDICAL CLINIC, INC.

Doing business as

Samaritana Medical Clinic , Inc. - La Puente.

Practice address

14282 Amar Rd
La Puente, CA 91746-2162

Phone

(213) 482-3600

Fax

(213) 483-4555

NPI assigned

Apr 17, 2021

Organization subpart

Yes

Parent organization

SAMARITANA MEDICAL CLINIC, INC.As reported in NPPES

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

Authorized official

Name

William A Martinez, PHYSICIAN ASSISTANT

Title

President

Phone

(213) 483-3600

Specialties & licenses 1

Addresses

Other names 1

• Samaritana Medical Clinic , Inc. - La Puente. Doing business as

Electronic endpoints 3

Tax ID family

Samaritana Medical Clinic2 organizations share this tax ID, including this one

Part of

Samaritana Medical Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Samaritana Medical Clinic,Inc.

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1154887560
  NPD tax ID

Locations

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.

• Samaritana Medical Clinic,Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1073706289
  NPPES parent name

Practitioners 2

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.

• Rommel Gonzales, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1386998227
  NPD (past)
• Luis E Valle, DO

  • Family Medicine Physician
  • Downey, CA
  • NPI 1497214431
  NPD (past)

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1073194429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572904",
            "telephone_number": "213-483-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14282 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462162",
            "telephone_number": "213-482-3600",
            "fax_number": "213-483-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANA MEDICAL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITANA MEDICAL CLINIC, INC.",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-483-3600",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "Y",
            "endpointDescription": "Desktop",
            "affiliationName": "samaritana medical clinic,inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laptop",
            "address_1": "510 S Alvarado St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900572904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Laptop",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laptop",
            "address_1": "4149 Tweedy Blvd Ste B",
            "city": "South Gate",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902806167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Laptop",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Desktop",
            "address_1": "14282 Amar Rd",
            "city": "LA Puente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917462162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Samaritana Medical Clinic , Inc. - La Puente.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriela Salas
• Daniel Salazar
• Luis Gerardo Salazar
• Yolanda Salazar
• Ariana Salcedo
• Laura Samuel
• San Gabriel Valley Foundation for Dental Health
• Araceli Sanchez
• Aurora Sanchez
• Deanna N Sanchez

• Urgent Care Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; 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.