Clinica Medica Mi Familia de Palmdale, Inc.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15859 Issued in CA

Legal business name

CLINICA MEDICA MI FAMILIA DE PALMDALE, INC.

Practice address

1037 E Palmdale Blvd
Suite 101
Palmdale, CA 93550-4745

Phone

(661) 266-0800

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Carlos S Martinez, M.D.

Title

Chief Executive Officer

Phone

(661) 266-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1770984254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD",
            "address_2": "SUITE 101",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "661-266-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD",
            "address_2": "SUITE 101",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "661-266-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA MI FAMILIA DE PALMDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-266-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.