Clinica San Marcos Medical Center Apc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLINICA SAN MARCOS MEDICAL CENTER APC

Practice address

3221 Liberty Blvd
South Gate, CA 90280-2315

Phone

(323) 566-9171

Fax

(323) 566-9178

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Neil David Katchman, DO

Title

Ceo

Phone

(323) 566-9171

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1396420394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 LIBERTY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802315",
            "telephone_number": "323-566-9171",
            "fax_number": "323-566-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 LIBERTY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802315",
            "telephone_number": "323-566-9171",
            "fax_number": "323-566-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SAN MARCOS MEDICAL CENTER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "KATCHMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-566-9171",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Chung, DC
• Josefina Clark, CNM
• Clinica Medica San Marcos Inc
• Clinica Medica San Marcos, Inc
• Clinica Medica San Pedro of California Inc
• Cohen & Keihani & Jabaiti Dental Corp
• Kenneth Cohn, M.D.
• Brenda Del Pilar Collao, MA, AMFT
• Compatior, Inc.
• Compatior, Inc.

• General Practice Physician in South Gate, CA
• Providers in South Gate, 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 Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.