SJC Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100202 Issued in CA

Legal business name

SJC MEDICAL CORPORATION

Practice address

3609 Vista Way
Suite B
Oceanside, CA 92056-4522

Phone

(618) 210-4725

NPI assigned

Sep 10, 2010

Last updated

Sep 10, 2010By 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

Dr. Ma. Belen Clark, MDNPI 1194791178

Title

MD

Phone

(618) 210-4725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Ma.Belen S. Clark, M.D.

  • Family Medicine Physician
  • Vista, CA
  • NPI 1194791178
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1437466521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23780 PORT ROYAL CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 VISTA WAY",
            "address_2": "SUITE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "618-210-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MA. BELEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "618-210-4725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan None Singleton Sr., LICENSED VOC NURSE
• Briana Siongco
• Melissa Pam Sirichotiratana, M.D.
• Shaley Lee Sirisack
• Katherine Siroky, MD
• Jennifer Deborah Skehan, M.ED. CCC-SLP
• Anthony Joseph Skinner
• Rory Skopek, FNP-C
• Eva Judith Skulsky, P.A., M.P.A.S.
• Kathleen Ann Skvarna, DPT

• Family Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.