San Martin Deporres Medical Group of Santa Ana

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48383 Issued in CA

Legal business name

SAN MARTIN DEPORRES MEDICAL GROUP OF SANTA ANA

Practice address

1701 E McFadden Ave
Unit D
Santa Ana, CA 92705-4647

Phone

(714) 953-6430

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Eliott Romero, M.D.

Title

Owner

Phone

(714) 953-6430

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1881867729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MCFADDEN AVE",
            "address_2": "UNIT D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054647",
            "telephone_number": "714-953-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MCFADDEN AVE",
            "address_2": "UNIT D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054647",
            "telephone_number": "714-953-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARTIN DEPORRES MEDICAL GROUP OF SANTA ANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ELIOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-953-6430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G483931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Antonio Medical Center Inc.
• San Antonio Medical Center Inc.
• San Dieguito Anesthesiology Medical Group, Inc.
• San Gabriel Anesthesia Associates, PC
• San Martin Deporres Medical Group
• Jerry San Martin
• Nazanin Sanaei, MD
• Sanavida Medical Group,Inc.
• Anna Christina Sanches Marques de Lima
• Hector Sanchez Ayala

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.