The Mission Medical Clinic of Santa Ana, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A36991 Issued in CA

Legal business name

THE MISSION MEDICAL CLINIC OF SANTA ANA, INC.

Practice address

1514 N Sycamore St
Santa Ana, CA 92701-2332

Phone

(714) 558-6800

Fax

(714) 558-7600

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Raul Di Sarli, M.D.

Title

Physician/Owner

Phone

(714) 558-6800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1174833149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 N SYCAMORE ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012332",
            "telephone_number": "714-558-6800",
            "fax_number": "714-558-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 N SYCAMORE ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012332",
            "telephone_number": "714-558-6800",
            "fax_number": "714-558-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MISSION MEDICAL CLINIC OF SANTA ANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "DI SARLI",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "714-558-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.