Samaritana Medical Clinic,Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAMARITANA MEDICAL CLINIC,INC.

Practice address

4149 Tweedy Blvd Ste B
South Gate, CA 90280-6167

Phone

(323) 825-0180

Fax

(877) 340-3470

NPI assigned

Feb 11, 2019

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Rudy Martinez

Title

Office Manager

Phone

(213) 483-3600

Specialties & licenses 1

Addresses

Tax ID family

Samaritana Medical Clinic Inc2 organizations share this tax ID, including this one

Part of

Samaritana Medical Clinic Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Samaritana Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • La Puente, CA
  • NPI 1073194429
  NPD tax ID

Locations

Practitioners 1

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

• Luis E Valle, DO

  • Family Medicine Physician
  • Downey, CA
  • NPI 1497214431
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1154887560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 E FLORENCE AVE STE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554793",
            "telephone_number": "323-583-3375",
            "fax_number": "877-340-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 TWEEDY BLVD STE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806167",
            "telephone_number": "323-825-0180",
            "fax_number": "877-340-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANA MEDICAL CLINIC,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2019-02-11",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-483-3600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naim Salama, MD
• Irma Christina Salazar
• Enrique Salgado Sr.
• Rodolfo Salgado
• Ranjeev Salwan, D.D.S INC
• Sams West Inc
• San Angel Dental Management Company
• San Cristobal Medical Group
• San Martin de Porres Medical Clinic of South Gate, Inc
• San Miguel Medical Clinic, Inc

• Family Medicine Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.