Clinica San Diego Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

33819 Issued in AZ

Legal business name

CLINICA SAN DIEGO INC

Practice address

4245 N 19TH Ave
Phoenix, AZ 85015-5109

Phone

(602) 277-8885

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Rosario Yolanda Esqueda de Sainos, NONE

Title

Ceo

Phone

(602) 277-8885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1891019022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 W LUKE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035166",
            "telephone_number": "623-444-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155109",
            "telephone_number": "602-277-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SAN DIEGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "ESQUEDA DE SAINOS",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-277-8885",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "33819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica Revive Salud PLLC
• Clinical Anesthesiology Consultants, LTD.
• Clinical Associates in Internal Medicine, LTD
• Clinical Diagnostic Radiology in Nuclear Medicine
• Clinical Partners PA Arizona
• Clinical Studies of Arizona, LLC

• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.