Santa Maria Women & Children Medical Clinic, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A64211 Issued in CA

Legal business name

SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC

Practice address

8401 Long Beach Blvd
South Gate, CA 90280-2014

Phone

(562) 822-5750

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Thomas H.T. Lin, M.D.

Title

M.D. / Owner

Phone

(562) 822-5750

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1093907578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 CASTLETON ST STE 578",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917485757",
            "telephone_number": "626-308-0068",
            "fax_number": "626-810-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 LONG BEACH BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802014",
            "telephone_number": "562-822-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H.T.",
        "authorized_official_title_or_position": "M.D. / OWNER",
        "authorized_official_telephone_number": "562-822-5750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A64211",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A64211",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092891",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A64211",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA15984",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Sanchez
• Kimberly Sanchez
• Brian Andrew Sandoval, MD
• Gerardo Sandoval, OTS
• Susana V Sandoval, M.D.
• Benjamin Phillip Sapir, D.D.S.
• Satellite Dialysis of Lynwood LLC
• Shaun Pheng Say, PHARMD
• Gail L Scanland
• Scott Jacks DDS Inc (Children's Dental Group)

• Pediatrics Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.