NPIMap

Organization Active NPI

Clinica 'Los Angeles'

  • Clinic/Center
  • Naples, FL
National Provider Identifier
1649540022
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC-3923 Issued in FL
Legal business name
CLINICA 'LOS ANGELES'
Practice address
5038 Coronado Pkwy
Naples, FL 34116-6950
Phone
(239) 234-6948
Fax
(239) 331-2362
NPI assigned
Jan 3, 2012
Organization subpart
Yes
Parent organization
ANGEL'S MEDICAL COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Juana Diaz
Title
President
Phone
(239) 234-6948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC-3923 FL Primary

Addresses

Primary practice location

5038 Coronado Pkwy
Naples, FL 34116-6950

Mailing address

5038 Coronado Pkwy
Naples, FL 34116-6950
Phone (239) 234-6948

National Provider Directory

National Provider Directory
Tax ID family
Angel's Medical Company3 organizations share this tax ID, including this one
Part of
Angel's Medical Company

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1649540022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6948",
            "fax_number": "239-331-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6948",
            "fax_number": "239-331-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA 'LOS ANGELES'",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL'S MEDICAL COMPANY",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-234-6948"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC-3923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.