Clinica Familiar Vida Y Salud

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLINICA FAMILIAR VIDA Y SALUD

Practice address

656 Indian Trail Lilburn Rd NW Ste 208
Lilburn, GA 30047-6872

Phone

(770) 696-9968

Fax

(770) 696-9859

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Yeni Delgado Cabrera, MEDICAL ASSISTANT.

Title

Owner

Phone

(770) 696-9968

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

Practitioners 2

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

• Glenda Patricia Menendez, FNP-C

  • Family Nurse Practitioner
  • Lilburn, GA
  • NPI 1891471322
  NPD (past)
• Christina W Siewe, FNP-BC

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1952906430
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1679336234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 INDIAN TRAIL LILBURN RD NW STE 208",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476872",
            "telephone_number": "770-696-9968",
            "fax_number": "770-696-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 INDIAN TRAIL LILBURN RD NW STE 208",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476872",
            "telephone_number": "770-696-9968",
            "fax_number": "770-696-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR VIDA Y SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "DELGADO CABRERA",
        "authorized_official_first_name": "YENI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-696-9968",
        "authorized_official_credential": "MEDICAL ASSISTANT."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morium Chowdhury
• Samuel I Chung, DPT
• Loletra Marshelle Church
• Circle of Life Therapy & Consulting LLC
• Gregory A Clepper, DMD
• Clinical Altenative Resource Associates, LLC
• Cathron H Cobb, LCSW, LMFT
• Mark Inman Cohen, D.D.S.
• William John Cohl III, D.C.
• Elena De Jesus Coil, RPH

• Primary Care Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.