Organization Active NPI

Sacred Heart Family Medical Clinic Inc

  • Primary Care Clinic/Center
  • Paramount, CA
National Provider Identifier
1174538540
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A429440 Issued in CA
Legal business name
SACRED HEART FAMILY MEDICAL CLINIC INC
Practice address
8540 Alondra Blvd
Suite B2
Paramount, CA 90723-5200
Phone
(562) 602-2508
Fax
(562) 602-2382
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Eduardo Salang Ornedo, M.D.
Title
President
Phone
(562) 602-2508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A429440 CA Primary

Addresses

Primary practice location

8540 Alondra Blvd
Suite B2
Paramount, CA 90723-5200

Mailing address

8540 Alondra Blvd
Suite B2
Paramount, CA 90723-5200
Phone (562) 602-2508

Other identifiers 1

IdentifierTypeStateIssuer
GR0087390MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1174538540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 ALONDRA BLVD",
            "address_2": "SUITE B2",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235200",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 ALONDRA BLVD",
            "address_2": "SUITE B2",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235200",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ORNEDO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "SALANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-602-2508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A429440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.