San Antonio Medical Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A56155 Issued in CA

Legal business name

SAN ANTONIO MEDICAL CLINIC, INC.

Practice address

325 E la Habra Blvd
La Habra, CA 90631-5439

Phone

(562) 691-7100

Fax

(562) 691-7101

NPI assigned

May 25, 2007

Organization subpart

No

Name

Juan Atlacatl Alas, M.D.

Title

President

Phone

(562) 691-7100

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

• Juan Atlacatl Alas-Pocasangre, M.D.

  • Family Medicine Physician
  • La Puente, CA
  • NPI 1720189186

  CA

  Medicare reassignment NPD

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2010.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1285845503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315439",
            "telephone_number": "562-691-7100",
            "fax_number": "562-691-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315439",
            "telephone_number": "562-691-7100",
            "fax_number": "562-691-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "ALAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ATLACATL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-691-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A56155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Sanders, RN

• All providers in La Habra, CA
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.