San Cristobal Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

W16925 Issued in CA

Legal business name

SAN CRISTOBAL MEDICAL GROUP

Practice address

1930 Wilshire Blvd
Suite 405
Los Angeles, CA 90057-3605

Phone

(213) 413-4203

Fax

(213) 413-5615

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anibal Falla

Title

Ceo

Phone

(213) 413-4203

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Maria Victoria Alfaro, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1225131535
  NPD (past)
• Mohammad Bararsani, M.D.

  • Point of Service
  • Torrance, CA
  • NPI 1669547618
  NPD (past)
• Rito Castanon-Hill, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1740397215
  NPD (past)
• Paul M Robinson, MD

  • General Practice Physician
  • Marina del Rey, CA
  • NPI 1447390067
  NPD (past)
• Craig Wilder, MD

  • Emergency Medicine Physician
  • Upper Marlboro, MD
  • NPI 1487745683
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1770533655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "SUITE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-413-4203",
            "fax_number": "213-413-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "SUITE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-413-4203",
            "fax_number": "213-413-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CRISTOBAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "FALLA",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-413-4203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "W16925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Glenn Morales San Agustin, M.D.
• Erika Frances San Antonio, MD
• Michele Jean San Antonio, M.S. CCC-SLP
• Trevor San Antonio, OTD, OTR/L
• San Bernardino Cardio Care
• San Cristobal Medical Group
• San Cristobal Medical Group Inc
• San Cristobal Medical Group Inc.
• San Cristobal Medical Group, Inc
• San Diego Laboratory LLC

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 28, 2009; 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.