San Martin de Porres Medical Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A24482 Issued in CA

Legal business name

SAN MARTIN DE PORRES MEDICAL CLINIC INC

Practice address

9315 Telegraph Rd
Pico Rivera, CA 90660-5424

Phone

(562) 654-6855

Fax

(562) 654-6856

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Francisco Edgardo Paredes, M.D.

Title

Owner

Phone

(562) 654-6855

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1215953609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 TELEGRAPH RD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605424",
            "telephone_number": "562-654-6855",
            "fax_number": "562-654-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 TELEGRAPH RD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605424",
            "telephone_number": "562-654-6855",
            "fax_number": "562-654-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARTIN DE PORRES MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "EDGARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-654-6855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A24482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80011Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Leticia Salazar, M.D.
• Sandra Luz Salcedo
• Deborah Samayoa
• San Andres Medical Clinic Inc
• San Martin de Porres Medical Center Inc
• Sanavida Medical Group, Inc. (Sanavida Pico Rivera)
• Alma R Sanchez
• Briana Sanchez
• Francisco Sanchez, ATC
• Tony Sanchez

• General Practice Physician in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.