Santa Adelina Medical Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SANTA ADELINA MEDICAL CLINIC INC

Practice address

680 E Alosta Ave
Suite 209
Azusa, CA 91702-2705

Phone

(626) 812-9733

Fax

(626) 981-2974

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Jorge Velazquez, PA-C

Title

President

Phone

(626) 812-9733

Specialties & licenses 1

Addresses

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

Practitioners 1

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

• Nazih M. Haddad, MD

  • Otolaryngology Physician
  • Newport Beach, CA
  • NPI 1649275637
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1508284878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE",
            "address_2": "SUITE 209",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022705",
            "telephone_number": "626-812-9733",
            "fax_number": "626-981-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE",
            "address_2": "SUITE 209",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022705",
            "telephone_number": "626-812-9733",
            "fax_number": "626-981-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ADELINA MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-812-9733",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Gabriel Children'S Center, Inc.
• San Gabriel Children'S Center, Inc.
• San Gabriel Childrens Center Inc.
• Marco Anthony Sanchez Sr.
• Stephen Sanchez
• Maria Santana
• Edward Arceo Santiago, MSN-FNP, NP-C
• Phoebe Santillan
• Alexus Sardin
• Alan Saubert

• General Practice Physician in Azusa, CA
• Providers in Azusa, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.