San Clemente Diagnostic Medical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

C30059 Issued in CA

Legal business name

SAN CLEMENTE DIAGNOSTIC MEDICAL CLINIC

Practice address

665 Camino de Los Mares Ste 305
San Clemente, CA 92673-2841

Phone

(949) 661-1215

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arturo Fontanes

Title

President

Phone

(949) 493-0811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942414032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 305",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732841",
            "telephone_number": "949-661-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 305",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732841",
            "telephone_number": "949-661-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CLEMENTE DIAGNOSTIC MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONTANES",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-493-0811"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C30059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Salazar
• Denise Danielle Salomone, PTA
• Ronald Stanley Saltzman, MD
• Nicholas C Salvati, DMD
• Darush Behzad Samia, R.N.F.A.
• San Clemente Family Medicine (Memorial Family Medicine Medical Group, Inc.)
• San Clemente Internal Medical Group Inc.
• San Clemente Optometry Corp
• San Clemente Physical Therapy Inc
• San Clemente Vitality Center Inc.

• Specialist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.