NPIMap

Organization Active NPI

Latino Health Services Medical Group Inc

  • Primary Care Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1790701514
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LATINO HEALTH SERVICES MEDICAL GROUP INC
Practice address
517 N Main St Ste 100
Santa Ana, CA 92701-4684
Phone
(714) 647-0401
Fax
(714) 647-9465
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Francisco A Jimenez, MDNPI 1972696573
Title
Owner/President
Phone
(714) 647-0401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

517 N Main St Ste 100
Santa Ana, CA 92701-4684

Mailing address

517 N Main St Ste 100
Santa Ana, CA 92701-4684
Phone (714) 647-0401

Other names 1

  • Clinica Medica Familiar de Santa Ana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920001097 CA Part B Supplier - Clinic/Group Practice 8022086859 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

6517 Eastern Ave
Bell Gardens, CA 90201
Phone (323) 773-8295

517 N Main St
Santa Ana, CA 92701
Phone (714) 647-0401

Practitioners & affiliated clinicians

Practitioners 10

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1790701514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014684",
            "telephone_number": "714-647-0401",
            "fax_number": "714-647-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014684",
            "telephone_number": "714-647-0401",
            "fax_number": "714-647-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO HEALTH SERVICES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-647-0401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Familiar de Santa Ana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.