Active NPI
Santa Maria Clinica Familiar Inc
- Medical Physician Assistant
- La Habra, CA
National Provider Identifier
1093028896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA12479
- Legal business name
- SANTA MARIA CLINICA FAMILIAR INC
- Practice address
- 308 N Harbor Blvd
La Habra, CA 90631-4847 - Phone
- (562) 266-3032
- Fax
- (562) 266-3036
- NPI assigned
- Jul 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delia Ramirez, PA
- Title
- President
- Phone
- (562) 266-3032
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A105315 | CA | |
| Medical Physician Assistant | 363AM0700X | PA12479 | CA | Primary |
Addresses
Primary practice location
308 N Harbor Blvd
La Habra, CA 90631-4847
Mailing address
308 N Harbor Blvd
La Habra, CA 90631-4847
Phone (562) 266-3032
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Inglewood, CA
- NPI 1134395320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1093028896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906314847",
"telephone_number": "562-266-3032",
"fax_number": "562-266-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906314847",
"telephone_number": "562-266-3032",
"fax_number": "562-266-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MARIA CLINICA FAMILIAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-21",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "DELIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-266-3032",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A105315",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA12479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.