Active NPI
San Pedro Healing Arts Medical Clinic Inc
- Family Medicine Physician
- San Pedro, CA
National Provider Identifier
1487735221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G67514
- Legal business name
- SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
- Doing business as
- San Pedro Healing Arts Medical Clinic Inc
- Practice address
- 1366 W 7TH St
Suite 4B
San Pedro, CA 90732-3500 - Phone
- (310) 547-2197
- Fax
- (310) 547-9532
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria E Baez, OMD LAC
- Title
- Ceo
- Phone
- (310) 547-2197
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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC45939 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT81399 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT86500 | CA | |
| Chiropractor | 111N00000X | DC27614 | CA | |
| Chiropractor | 111N00000X | DC 21667 | CA | |
| Orthopedic Chiropractor | 111NX0800X | DC33346 | CA | |
| Acupuncturist | 171100000X | AC10137 | CA | |
| Acupuncturist | 171100000X | AC9270 | CA | |
| Specialist | 174400000X | PT2838 | CA | |
| Family Medicine Physician | 207Q00000X | G67514 | CA | Primary |
| Physician Assistant | 363A00000X | PA 18999 | CA | |
| Physician Assistant | 363A00000X | PA 21347 | CA |
Addresses
Primary practice location
1366 W 7TH St
Suite 4B
San Pedro, CA 90732-3500
Mailing address
1366 W 7TH St
Suite 4B
San Pedro, CA 90732-3500
Phone (310) 547-2197
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G67514 | Other | CA | MEDICAL DOCTOR |
| PA 18999 | Other | CA | PHYSICAN ASSISTANT |
| DC 21667 | Other | CA | CHIROPRACTOR |
| MFC45939 | Other | CA | MARRIAGE & FAMILY COUNSELING |
| PT 17929 | Other | CA | PHYSICAL THERAPY |
| AC10137 | Other | CA | ACUPUNCTURE |
| AC9270 | Other | CA | ACUPUNCTURE |
| DC27614 | Other | CA | CHIROPRACTOR |
| DC33346 | Other | CA | CHIROPRACTIC |
| PT2838 | Other | CA | PHYSICAL THERAPY |
| LMFT81399 | Other | CA | MARRIAGE & FAMILY COUNSELING |
| LMFT86500 | Other | CA | MARRIAGE & FAMILY COUNSELING |
| PA 21347 | Other | CA | PHYSICIAN ASSISTANT |
Other names 1
- SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
National Provider Directory
National Provider Directory- Tax ID family
- Dustin Martinez DC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- San Pedro, CA
- NPI 1992161012
-
- Clinic/Center
- San Pedro, CA
- NPI 1255639522
-
dba San Pedro Healing Arts Medical Clinic
- Marriage & Family Therapist
- San Pedro, CA
- NPI 1598193609
-
- Chiropractor
- San Pedro, CA
- NPI 1942448311
-
- Marriage & Family Therapist
- San Pedro, CA
- NPI 1093053233
-
- Professional Counselor
- Lake Forest, CA
- NPI 1538549563
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": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476144000000",
"number": "1487735221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1366 W 7TH ST",
"address_2": "SUITE 4B",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323500",
"telephone_number": "310-547-2197",
"fax_number": "310-547-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 W 7TH ST",
"address_2": "SUITE 4B",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323500",
"telephone_number": "310-547-2197",
"fax_number": "310-547-9532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN PEDRO HEALING ARTS MEDICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2016-10-11",
"status": "A",
"authorized_official_last_name": "BAEZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-547-2197",
"authorized_official_credential": "OMD LAC"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC45939",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT81399",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT86500",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27614",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 21667",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC33346",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10137",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9270",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "PT2838",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G67514",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 18999",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 21347",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL DOCTOR",
"identifier": "G67514",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAN ASSISTANT",
"identifier": "PA 18999",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "DC 21667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY COUNSELING",
"identifier": "MFC45939",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "PT 17929",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "AC10137",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "AC9270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "DC27614",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC",
"identifier": "DC33346",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "PT2838",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY COUNSELING",
"identifier": "LMFT81399",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY COUNSELING",
"identifier": "LMFT86500",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA 21347",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN PEDRO HEALING ARTS MEDICAL CLINIC INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Pedro, CA
- San Miguel Urgent Care San Pedro
- San Pedro Acupuncture Corporation (San Pedro Acupuncture Health Center)
- San Pedro Convalescent Home, Inc. (Los Palos Convalescent Hospital)
- San Pedro Dental
- San Pedro Eye Medical Group, Inc a Professional Medical Corporation (San Pedro Eye Care)
- San Pedro Hospice Inc.
- San Pedro Hospitalist Medical Group Inc
- San Pedro Medical Clinic
- San Pedro OB-GYN Medical Corporation
- San Pedro Pain and Disc Institute Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.