NPIMap

Organization Active NPI

Clinica de la Salud Hispana

  • Health Service Clinic/Center
  • Chamblee, GA
National Provider Identifier
1861561532
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
011821 Issued in GA
Legal business name
CLINICA DE LA SALUD HISPANA
Practice address
3652 Chamblee Dunwoody Rd
Suite 4
Chamblee, GA 30341-2120
Phone
(770) 451-0662
Fax
(770) 451-0214
NPI assigned
Nov 7, 2006
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Edgar Miguel Velez, M.A.
Title
Office Manager
Phone
(770) 451-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 011821 GA Primary

Addresses

Primary practice location

3652 Chamblee Dunwoody Rd
Suite 4
Chamblee, GA 30341-2120

Mailing address

3652 Chamblee Dunwoody Rd
Suite 4
Chamblee, GA 30341-2120
Phone (770) 451-0662

National Provider Directory

National Provider Directory
Tax ID family
Clinica de la Salud Hispana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3652 Chamblee Dunwoody Rd
Ste 4
Chamblee, GA 30341
Phone (770) 451-0662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1861561532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 4",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412120",
            "telephone_number": "770-451-0662",
            "fax_number": "770-451-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 4",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412120",
            "telephone_number": "770-451-0662",
            "fax_number": "770-451-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LA SALUD HISPANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-451-0662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "011821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.