St. Martin Family Medical Clinic, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

A61958 Issued in CA

Legal business name

ST. MARTIN FAMILY MEDICAL CLINIC, INC.

Practice address

12555 Garden Grove Blvd Ste 506
Garden Grove, CA 92843-1904

Phone

(714) 537-3900

Fax

(714) 537-7300

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hung Nguyen, M.DNPI 1538181763

Title

Direct Owner

Phone

(714) 537-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hung Nguyen, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1538181763
  NPD (past) Authorized official
• Teneese Nguyen, MD.

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1043306673
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1104044288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 506",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431904",
            "telephone_number": "714-537-3900",
            "fax_number": "714-537-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 506",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431904",
            "telephone_number": "714-537-3900",
            "fax_number": "714-537-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARTIN FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "714-537-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "A61958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A061958",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamari Squirewell
• Seksan Srephichit, MD
• St. Anselm'S Cross Cultural Community Center
• St. Clare'S Home Care, Inc.
• Dinorah Angel St. John
• St. Mary'S Rehab Corp
• Jaylene Sta Ana, OTA
• Megan Caitlin Sta Cruz
• Stanely G. Cohen,M.D & William R. Sloan,M.D. a Medical Corporation
• Stanton S Kremsky MD Inc

• Point of Service in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.