Organization Active NPI

Sa Medical Center Inc.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1851423925
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SA MEDICAL CENTER INC.
Practice address
610 W 17TH St
Santa Ana, CA 92706-3621
Phone
(714) 541-4090
Fax
(714) 541-8815
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Joseph A Carella, M.D.
Title
Medical Director
Phone
(714) 541-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

610 W 17TH St
Santa Ana, CA 92706-3621

Mailing address

610 W 17TH St
Santa Ana, CA 92706-3621
Phone (714) 541-4090

Other identifiers 1

IdentifierTypeStateIssuer
GR0086200MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000653 CA Part B Supplier - Clinic/Group Practice 7618924895 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1851423925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063621",
            "telephone_number": "714-541-4090",
            "fax_number": "714-541-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063621",
            "telephone_number": "714-541-4090",
            "fax_number": "714-541-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CARELLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-541-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086200",
            "state": "CA"
        }
    ],
    "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 23, 2008; 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.