Santaclara Med Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SANTACLARA MED CLINIC LLC

Practice address

1865 NE 163Rd St
North Miami Beach, FL 33162-4805

Phone

(786) 261-8872

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Ydania Santaclara, APRNNPI 1346670494

Title

President

Phone

(786) 261-8872

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Ydania Santaclara, ARNP

  • Family Nurse Practitioner
  • North Miami Beach, FL
  • NPI 1346670494
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1215777339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8749 WEST 37 AVENUE",
            "address_2": "APT 303",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "786-261-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624805",
            "telephone_number": "786-261-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTACLARA MED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SANTACLARA",
        "authorized_official_first_name": "YDANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-261-8872",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond B Sandler, M.D.
• Morton Joseph Sanet, MD
• Michelle Sanford, OT
• Steven Sanford, OTR
• Giselle Sankar, OD
• Ydania Santaclara, ARNP
• Leonela Santana Falcon
• Luanna Santana Gratao, APRN
• Barbara Santana Santana, RBT
• Marcia Marie Santana, ARNP

• Family Nurse Practitioner in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.