Active NPI
Marian Family Clinic a Professional Corporation
- Internal Medicine Physician
- San Gabriel, CA
National Provider Identifier
1093634479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MARIAN FAMILY CLINIC A PROFESSIONAL CORPORATION
- Practice address
- 416 W Las Tunas Dr Ste 102
San Gabriel, CA 91776-1236 - Phone
- (626) 285-9705
- NPI assigned
- Jul 10, 2026
- Last updated
- Sep 22, 2026
- 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
- Shary Joseph
- Title
- Ceo
- Phone
- (562) 832-7792
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
416 W Las Tunas Dr Ste 102
San Gabriel, CA 91776-1236
Mailing address
416 W Las Tunas Dr Ste 102
San Gabriel, CA 91776-1236
Phone (626) 285-9705
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, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Anaheim, CA
- NPI 1063836120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1093634479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 W LAS TUNAS DR STE 102",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761236",
"telephone_number": "626-285-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W LAS TUNAS DR STE 102",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761236",
"telephone_number": "626-285-9705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIAN FAMILY CLINIC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-10",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "SHARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-832-7792"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.