Clinica Prenatal San Jose, Inc.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

G678871 Issued in CA

Legal business name

CLINICA PRENATAL SAN JOSE, INC.

Practice address

1220 Hemlock Way Ste 200
Santa Ana, CA 92707-3655

Phone

(714) 966-9795

Fax

(714) 966-7869

NPI assigned

Nov 10, 2007

Organization subpart

No

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

Authorized official

Name

Allan Akerman, M.DNPI 1396714184

Title

Office Manager

Phone

(714) 966-9795

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 9

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

• Allan Akerman, M.D.

  • Obstetrics & Gynecology Physician
  • Orange, CA
  • NPI 1396714184
  Medicare reassignment Care Compare group NPD Authorized official
• Sogol Ashrafian, MD

  • Obstetrics & Gynecology Physician
  • San Diego, CA
  • NPI 1215566427
  Medicare reassignment Care Compare group NPD
• Jessica Christine Barr, DO

  • Obstetrics & Gynecology Physician
  • Orange, CA
  • NPI 1477116200
  Medicare reassignment Care Compare group NPD
• Stephanie Kaye Palado Lao, MD

  • Obstetrics & Gynecology Physician
  • Orange, CA
  • NPI 1073011169
  Medicare reassignment Care Compare group NPD
• Liliana Teresita Acevedo Miramontes, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Garden Grove, CA
  • NPI 1760238596
  Medicare reassignment NPD
• Debbie Tobin, R.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Orange, CA
  • NPI 1467662304
  Medicare reassignment NPD
• Maggie Jiang, DO

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1760019301

  CA

  Medicare reassignment NPD
• Alexandra Lauren Pettus, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1750148748
  Medicare reassignment
• Janine Ruiz, CNM, WHNP, MSN

  • Midwife
  • Orange, CA
  • NPI 1275486417
  NPD

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508046251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY",
            "address_2": "STE. 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073650",
            "telephone_number": "714-966-9795",
            "fax_number": "714-966-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073655",
            "telephone_number": "714-966-9795",
            "fax_number": "714-966-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PRENATAL SAN JOSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AKERMAN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-966-9795",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G678871",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A913090",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A913090",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G678871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kandra Diane Clifton, MA
• Clinica Buena Salud Inc
• Clinica de Salud Medical Group
• Clinica Medica Mi Pueblo, Medical Clinic, Inc
• Clinica Michoacan
• Clinical Buena Salud, Inc. (Clinica Buena Salud)
• Kathleen Mary Clodfelter, P.T.
• Clover Healthcare Inc (986 Pharmacy #8036)
• CMM Supplies, LLC
• Dailene Coad

• Obstetrics Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.