NPIMap

Organization Active NPI

Santa Ana Clinica Medica General Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1104873686
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SANTA ANA CLINICA MEDICA GENERAL MEDICAL CENTER INC.
Practice address
505 N Main St
Santa Ana, CA 92701-4619
Phone
(714) 567-0101
Fax
(714) 567-9279
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Maritza Maribel Maldonado
Title
Office Manager
Phone
(103) 779-4474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

505 N Main St
Santa Ana, CA 92701-4619

Mailing address

PO Box 546
Beverly Hills, CA 90213-0546
Phone (310) 779-4474

Other identifiers 1

IdentifierTypeStateIssuer
GR0076070MedicaidCA

Other names 2

  • Santa Ana Clinica Medica General Medical Center Former legal business name
  • Santa Ana Clinica Medica General Medical Center Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

2208 W 7th St
Los Angeles, CA 90057
Phone (213) 384-3434

505 N Main St
Santa Ana, CA 92701
Phone (714) 567-0101

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1104873686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902130546",
            "telephone_number": "310-779-4474",
            "fax_number": "424-278-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014619",
            "telephone_number": "714-567-0101",
            "fax_number": "714-567-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA CLINICA MEDICA GENERAL MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "MARIBEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "103-779-4474"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Clinica Medica General Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Santa Ana Clinica Medica General Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.