Clinica Medica Internacional, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

00A357301 Issued in CA

Legal business name

CLINICA MEDICA INTERNACIONAL, INC

Practice address

7444 Lankershim Blvd
North Hollywood, CA 91605-2801

Phone

(818) 765-4917

Fax

(818) 765-0804

NPI assigned

Nov 22, 2006

Last updated

Jan 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuel Ernesto Umanzor, PANPI 1871668152

Title

PA

Phone

(818) 765-4917

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel Ernesto Umanzor, PA

  • Medical Physician Assistant
  • North Hollywood, CA
  • NPI 1871668152
  NPD Authorized official
• Jeannie Michelle Umanzor, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Van Nuys, CA
  • NPI 1992234165
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1427123504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052801",
            "telephone_number": "818-765-4917",
            "fax_number": "818-765-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052801",
            "telephone_number": "818-765-4917",
            "fax_number": "818-765-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA INTERNACIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "UMANZOR",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "818-765-4917",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "00A357301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Hospice Care
• Clear Solutions Hospice Inc
• Clear Vision Optometry, Inc.
• CLHF Homes LLC
• Christy Cline
• Clinica Medica Mi Pueblo, Medical Clinic, Inc
• Kayla Jessie Elizabeth Clokie, DDS
• Close to Home Healthcare Services, Inc
• Cloud Hospice and Palliative Care, Inc.
• Clover Medical Corporation Inc

• Preferred Provider Organization in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.