NPIMap

Organization Active NPI

Samara Palacio Cardenas M.D. a Professional Corporation

  • Primary Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1447361324
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A30768 Issued in CA
Legal business name
SAMARA PALACIO CARDENAS M.D. A PROFESSIONAL CORPORATION
Practice address
1120 W la Palma Ave
#15
Anaheim, CA 92801-2801
Phone
(714) 535-6419
Fax
(714) 535-7222
NPI assigned
Aug 31, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Samara Palacio Cardenas, M.D.NPI 1144463415
Title
Owner/Physician
Phone
(714) 535-6419

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A30768 CA Primary

Addresses

Primary practice location

1120 W la Palma Ave
#15
Anaheim, CA 92801-2801

Mailing address

1120 W la Palma Ave
#15
Anaheim, CA 92801-2801
Phone (714) 535-6419

Other identifiers 1

IdentifierTypeStateIssuer
00A307680MedicaidCA

National Provider Directory

National Provider Directory

Locations

1120 W La Palma Ave
Ste 15
Anaheim, CA 92801
Phone (714) 535-6419

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1447361324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA AVE",
            "address_2": "#15",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012801",
            "telephone_number": "714-535-6419",
            "fax_number": "714-535-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA AVE",
            "address_2": "#15",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012801",
            "telephone_number": "714-535-6419",
            "fax_number": "714-535-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA PALACIO CARDENAS M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_middle_name": "PALACIO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "714-535-6419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A30768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A307680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.