Active NPI
Sacred Heart Family Medical Clinic Inc
- Primary Care Clinic/Center
- Paramount, CA
National Provider Identifier
1174538540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A429440
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0087390 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.