Citadel Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CITADEL DIAGNOSTICS

Practice address

1717 Old Tustin Ave
Santa Ana, CA 92705-7879

Phone

(909) 728-3270

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Alfredo Valdez

Title

Owner

Phone

(909) 728-3270

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1306593595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 WILLIS ST STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010400",
            "telephone_number": "909-728-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057879",
            "telephone_number": "909-728-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-728-3270"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CSV",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31831 Camino Capistrano Ste 104",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926753220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claudia Ivette Cisneros
• Emily Cisneros
• Janet Cisneros
• Keenen Cisneros, DC
• Trinidad Cisneros, D.C.
• City of Santa Ana (City of Santa Ana Paramedic Billing)
• Tameeshah Cival, M.A.
• Valerie Felice Civelli, MD
• CJ Wellnet Inc (Wellnet Medi-Van Transportation)
• Steven Jefferson Clagett, MFT

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.