Sano Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A30481 Issued in CA

Legal business name

SANO MEDICAL CLINIC

Practice address

700 W 19TH St
Costa Mesa, CA 92627-3517

Phone

(949) 355-1715

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Dolores Stirbl

Title

Administrator

Phone

(949) 355-1715

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• James Stirbl, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1326131640
  NPD (past)

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1528465762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273517",
            "telephone_number": "949-355-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273517",
            "telephone_number": "949-355-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANO MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "STIRBL",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-355-1715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A30481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A304810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Sandoval
• Timothy Joel Sandstrom, LMFT
• Anya Sandusky
• Diego Gaston Sanmiquel
• Sano Community Health Center Inc.
• Sano Medical Clinic, Inc.
• Michelle Kathleen Santa
• Elneia Santamaria
• Shamanta Santamaria
• Margarita Santana Delgado

• Primary Care Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.