San Lucas Medical Clinic, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A37463 Issued in CA

Legal business name

SAN LUCAS MEDICAL CLINIC, INC

Practice address

13939 San Antonio Dr
Norwalk, CA 90650-4036

Phone

(213) 989-1535

Fax

(888) 882-7876

NPI assigned

Dec 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vital Hinojosa, M. D.NPI 1396874202

Title

Medical Director & Owner

Phone

(213) 989-1535

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Vital Hinojosa, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1396874202
  NPD (past) Authorized official

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1295156982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13939 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504036",
            "telephone_number": "213-989-1535",
            "fax_number": "888-882-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504036",
            "telephone_number": "213-989-1535",
            "fax_number": "888-882-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUCAS MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "VITAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR & OWNER",
        "authorized_official_telephone_number": "213-989-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ED251A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396874202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samaritans Tran Inc
• Jeremy Samson
• Cherish Nkechi Samuel, PMHNP
• Teevale Essie Samuelu
• Rosangel San Elias-Gaytan
• Elizabeth Sanchez Garnica, MSW
• Martin Sanchez Torres
• Alicia Annette Sanchez
• Brenda F Sanchez
• Lexus Sanchez

• General Practice Physician in Norwalk, CA
• Providers in Norwalk, 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 Dec 23, 2013; 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.