Organization Active NPI

Maria Sandra a Umali MD Inc

Doing business as Umalimedical Clinic

  • Gastroenterology Physician
  • Newhall, CA
National Provider Identifier
1437494432
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A34940 Issued in CA
Legal business name
MARIA SANDRA A UMALI MD INC
Doing business as
Umalimedical Clinic
Practice address
22621 Lyons Ave
Newhall, CA 91321-1702
Phone
(661) 964-0597
Fax
(661) 964-0598
NPI assigned
Dec 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Maria Sandra Alzona Umali, MDNPI 1790817328
Title
President
Phone
(661) 964-0597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A34940 CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A34940 CA
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A34940 CA Primary

Addresses

Primary practice location

22621 Lyons Ave
Newhall, CA 91321-1702

Mailing address

PO Box 221360
Newhall, CA 91322-1360
Phone (661) 964-0597

Other identifiers 1

IdentifierTypeStateIssuer
05D1000027OtherCACLIA

Other names 1

  • UMALIMEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121205000134 CA Part B Supplier - Clinic/Group Practice 1456503028 Receives reassigned benefits from 1 practitioner
Practice locations: Newhall, CA

National Provider Directory

National Provider Directory

Locations

22621 Lyons Ave
Newhall, CA 91321
Phone (661) 964-0597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437494432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221360",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913221360",
            "telephone_number": "661-964-0597",
            "fax_number": "661-964-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22621 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211702",
            "telephone_number": "661-964-0597",
            "fax_number": "661-964-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA SANDRA A UMALI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "UMALI",
        "authorized_official_first_name": "MARIA SANDRA",
        "authorized_official_middle_name": "ALZONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-964-0597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34940",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A34940",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A34940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1000027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMALIMEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.