Casa Guadalupe Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

166649 Issued in CA

Legal business name

CASA GUADALUPE FAMILY MEDICAL CLINIC

Practice address

2015 W 1St St Ste K
Santa Ana, CA 92703-3516

Phone

(714) 547-7745

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Garrett

Title

Owner

Phone

(213) 923-4074

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1487799185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W. 1ST SUITE K",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92703",
            "telephone_number": "714-547-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W 1ST ST STE K",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033516",
            "telephone_number": "714-547-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GUADALUPE FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-923-4074",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "166649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Floraine Ilog Carunungan
• Rhena Carusillo
• Kailee Christine Caruso
• Carwin Healthcare PC
• Casa de la Familia
• Giovanni Casas
• Lindsey Irene Casas
• Brooke Casazza, NP
• Kyle Alan Case, D.O.
• Jessica Casey

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, 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 Feb 12, 2008; 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.