NPIMap

Organization Active NPI

Clinica Medica Mi Pueblo, Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Wilmington, CA
National Provider Identifier
1306109251
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC
Practice address
131 W Anaheim St
Wilmington, CA 90744-4416
Phone
(310) 518-5441
Fax
(310) 518-5758
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Thomas J Magee, MD
Title
Owner
Phone
(323) 726-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

131 W Anaheim St
Wilmington, CA 90744-4416

Mailing address

6055 E Washington Blvd
Suite 240
Commerce, CA 90040-2449
Phone (323) 726-0333

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica Mi Pueblo Medical Clinic Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

131 W Anaheim St
Wilmington, CA 90744
Phone (310) 518-5441

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1306109251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 E WASHINGTON BLVD",
            "address_2": "SUITE 240",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402449",
            "telephone_number": "323-726-0333",
            "fax_number": "323-726-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444416",
            "telephone_number": "310-518-5441",
            "fax_number": "310-518-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-726-0333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.