Medical Clinic Management

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAL CLINIC MANAGEMENT

Practice address

1125 E 17TH St Ste W237
Santa Ana, CA 92701-2205

Phone

(714) 648-0503

Fax

(714) 648-0539

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Rodrigo Covarrubias, M.D.

Title

Medical Director

Phone

(714) 648-0503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1861849267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE W237",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012205",
            "telephone_number": "714-648-0503",
            "fax_number": "714-648-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE W237",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012205",
            "telephone_number": "714-648-0503",
            "fax_number": "714-648-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "COVARRUBIAS",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-648-0503",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Medina-Aguirre
• Martha Lidia Medina-Davidson, LCSW
• Amy Anderson Medina

• General Practice Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.