NPIMap

Organization Active NPI

Clinica Medica Mi Pueblo, Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1811248669
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC
Practice address
720 S Harbor Blvd
Santa Ana, CA 92704-2337
Phone
(714) 775-3197
Fax
(714) 775-3837
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Thomas J Magee, MD
Title
Owner
Phone
(323) 726-0333

Specialties & licenses 1

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

Addresses

Primary practice location

720 S Harbor Blvd
Santa Ana, CA 92704-2337

Mailing address

6055 E Washington Blvd
Suite 240
Commerce, CA 90040-2449
Phone (323) 726-0333

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica Mi Pueblo Medical Clinic Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 775-3197

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1811248669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 E WASHINGTON BLVD",
            "address_2": "SUITE 240",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402449",
            "telephone_number": "323-726-0333",
            "fax_number": "323-726-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042337",
            "telephone_number": "714-775-3197",
            "fax_number": "714-775-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-726-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2012; 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.