Organization Active NPI

Clinica del Alma Inc.

  • Gynecology Physician
  • Gardena, CA
National Provider Identifier
1770619843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A78069 Issued in CA
Legal business name
CLINICA DEL ALMA INC.
Practice address
16402 S Vermont Ave
Gardena, CA 90247-4914
Phone
(310) 756-0198
Fax
(310) 756-0201
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martha G. Vidal, M.D.
Title
Owner
Phone
(310) 756-0198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X A78069 CA Primary

Addresses

Primary practice location

16402 S Vermont Ave
Gardena, CA 90247-4914

Mailing address

16402 S Vermont Ave
Gardena, CA 90247-4914
Phone (310) 756-0198

Other identifiers 1

IdentifierTypeStateIssuer
GR0103341MedicaidCA

National Provider Directory

National Provider Directory

Locations

16402 S Vermont Ave
Gardena, CA 90247
Phone (310) 756-0198

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770619843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16402 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474914",
            "telephone_number": "310-756-0198",
            "fax_number": "310-756-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16402 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474914",
            "telephone_number": "310-756-0198",
            "fax_number": "310-756-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL ALMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-756-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A78069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.