San Miguel Medical Clinic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

FNP14677 Issued in CA

Legal business name

SAN MIGUEL MEDICAL CLINIC, INC

Practice address

8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011

Phone

(323) 588-3300

Fax

(323) 588-0855

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Naim Salama, MDNPI 1366548000

Title

Owner

Phone

(323) 588-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Michael Salama

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1366734568
  Medicare reassignment
• Naim Salama, MD

  • Pediatrics Physician
  • South Gate, CA
  • NPI 1366548000
  NPD (past) Authorized official
• Sarah Dianne Chico Fernandez

  • Physician Assistant
  • South Gate, CA
  • NPI 1740049899
  NPD
• Nellie Skillen, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1649090457
  NPD
• Sylvia Mary Guirguis Felobous, MD

  • Pediatrics Physician
  • South Gate, CA
  • NPI 1114027125
  NPD (past)
• Afaf Soliman, MD

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1720184476
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801992565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802011",
            "telephone_number": "323-588-3300",
            "fax_number": "323-588-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802011",
            "telephone_number": "323-588-3300",
            "fax_number": "323-588-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MIGUEL MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "NAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-588-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "FNP14677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samaritana Medical Clinic,Inc.
• Sams West Inc
• San Angel Dental Management Company
• San Cristobal Medical Group
• San Martin de Porres Medical Clinic of South Gate, Inc
• San Miguel Pharmacy,Inc
• Alicia Kim Sanchez, MD
• Brenda Sanchez
• Dennis James Sanchez, M.D.
• Jonathan Sanchez

• Clinic/Center in South Gate, CA
• Providers in South Gate, CA by specialty
• Clinic/Center in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.