Active NPI
Santa Rosa Clinic
- Health Service Clinic/Center
- San Diego, CA
National Provider Identifier
1740968973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SANTA ROSA CLINIC
- Practice address
- 4025 Camino del Rio S Ste 300
San Diego, CA 92108-4108 - Phone
- (619) 988-6512
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victor Manuel Sainz, MD
- Title
- Ceo
- Phone
- (619) 988-6512
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
4025 Camino del Rio S Ste 300
San Diego, CA 92108-4108
Mailing address
333 H St Ste 5000
Chula Vista, CA 91910-5561
Phone (619) 988-6512
Other names 1
- CLINICA SANTA ROSA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1740968973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 H ST STE 5000",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105561",
"telephone_number": "619-988-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 CAMINO DEL RIO S STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084108",
"telephone_number": "619-988-6512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA ROSA CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "SAINZ",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-988-6512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINICA SANTA ROSA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CLINICA SANTA ROSA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.