Organization Active NPI

Daniel Uribe MD

Doing business as San Marcos Medical Group

  • Internal Medicine Physician
  • La Habra, CA
National Provider Identifier
1235315391
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42095 Issued in CA
Legal business name
DANIEL URIBE MD
Doing business as
San Marcos Medical Group
Practice address
121 N Euclid St
La Habra, CA 90631-4614
Phone
(562) 691-0811
Fax
(562) 690-7013
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Daniel Uribe, MDNPI 1922049279
Title
President
Phone
(562) 691-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A42095 CA Primary

Addresses

Primary practice location

121 N Euclid St
La Habra, CA 90631-4614

Mailing address

121 N Euclid St
La Habra, CA 90631-4614
Phone (562) 691-0811

Other identifiers 1

IdentifierTypeStateIssuer
00A420951MedicaidCA

Other names 1

  • SAN MARCOS MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel Uribe MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 N Euclid St
La Habra, CA 90631
Phone (562) 691-0811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1235315391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N EUCLID ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314614",
            "telephone_number": "562-691-0811",
            "fax_number": "562-690-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N EUCLID ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314614",
            "telephone_number": "562-691-0811",
            "fax_number": "562-690-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL URIBE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-691-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A420951",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN MARCOS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.