Organization Active NPI

Santo Nino Medical Center Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1093490237
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SANTO NINO MEDICAL CENTER INC
Practice address
3412 N Eastern Ave
Los Angeles, CA 90032-1934
Phone
(323) 343-9900
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Authorized official

Name
Neil David Katchman, M.D.
Title
Ceo
Phone
(323) 343-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3412 N Eastern Ave
Los Angeles, CA 90032-1934

Mailing address

3412 N Eastern Ave
Los Angeles, CA 90032-1934
Phone (323) 343-9900

National Provider Directory

National Provider Directory

Locations

3412 N Eastern Ave
Los Angeles, CA 90032
Phone (323) 343-9900

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686960000000",
    "number": "1093490237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321934",
            "telephone_number": "323-343-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321934",
            "telephone_number": "323-343-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO NINO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "KATCHMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-343-9900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; 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.