St. Anne Medical Clinic Professional Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A51992 Issued in CA

Legal business name

ST. ANNE MEDICAL CLINIC PROFESSIONAL CORP

Practice address

2536 W Temple St.
Los Angeles, CA 90026-4848

Phone

(213) 385-7888

Fax

(213) 385-7887

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anna Lourdes Armada Chickey, M.D.NPI 1609972207

Title

President

Phone

(562) 900-0379

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St Anne Medical Clinic, PC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Anna Lourdes Armada Chickey, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1609972207
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1194904482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 W TEMPLE ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264848",
            "telephone_number": "213-385-7888",
            "fax_number": "213-385-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 W TEMPLE ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264848",
            "telephone_number": "213-385-7888",
            "fax_number": "213-385-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANNE MEDICAL CLINIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "CHICKEY",
        "authorized_official_first_name": "ANNA LOURDES",
        "authorized_official_middle_name": "ARMADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-900-0379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A051992",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A51992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A519920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anne Medical Clinic, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St Vincent Medical Center
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• St. Anne'S
• St. Anne'S Family Services
• St. Anne'S Family Services
• St. Anne'S Family Services
• St. Anne'S Family Services

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.