NPIMap

Organization Active NPI

Santa Maria Clinica Familiar Inc

  • Medical Physician Assistant
  • La Habra, CA
National Provider Identifier
1093028896
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA12479 Issued in CA
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
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Delia Ramirez, PANPI 1841503752
Title
President
Phone
(562) 266-3032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A105315 CA
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

308 N Harbor Blvd
La Habra, CA 90631
Phone (562) 266-3032

Practitioners & affiliated clinicians

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.

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.

Verify at the official NPI Registry.