San Antonio Family Medical Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G54939 Issued in CA

Legal business name

SAN ANTONIO FAMILY MEDICAL CLINIC, INC.

Practice address

36 N Euclid Ave Ste C
National City, CA 91950-1955

Phone

(619) 255-2950

Fax

(619) 756-6981

NPI assigned

Apr 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Edward S Jocson, PA-CNPI 1437361615

Title

President

Phone

(619) 754-5809

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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

• Robert Carlson, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1518289438
  Medicare reassignment NPD
• Edward Saliba Jocson, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1437361615
  NPD Authorized official

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272067200000",
    "number": "1073830485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N EUCLID AVE STE C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919501955",
            "telephone_number": "619-255-2950",
            "fax_number": "619-756-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N EUCLID AVE STE C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919501955",
            "telephone_number": "619-255-2950",
            "fax_number": "619-756-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-24",
        "last_updated": "2010-04-24",
        "status": "A",
        "authorized_official_last_name": "JOCSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-754-5809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G54939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Roque Saldana, DDS
• Angelita Anita Maria Saldivar
• Saleem Ishaque,M.D. P.C.
• Eugenio Dominguez Salvanera, DMD
• Samaritan Palliative & Hospice Care Inc
• San Diego Center for Family Therapy
• San Diego Dialysis Services, Inc.
• San Diego Heart Center, a Medical Corporation
• San Diego Infectious Disease Consultants
• San Diego Neurosurgery and Spine Institute

• Primary Care Clinic/Center in National City, CA
• Providers in National City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.