Organization Active NPI

Santa Fe Medical Clinic, Inc

  • Family Medicine Physician
  • Pico Rivera, CA
National Provider Identifier
1952464208
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73180 Issued in CA
Legal business name
SANTA FE MEDICAL CLINIC, INC
Practice address
8338 Rosemead Blvd
Pico Rivera, CA 90660-5111
Phone
(562) 942-1200
Fax
(562) 942-8004
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Omar Magana, M.D.
Title
Ceo
Phone
(562) 942-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A73180 CA Primary

Addresses

Primary practice location

8338 Rosemead Blvd
Pico Rivera, CA 90660-5111

Mailing address

8338 Rosemead Blvd
Pico Rivera, CA 90660-5111
Phone (562) 942-1200

Other identifiers 1

IdentifierTypeStateIssuer
1952464208MedicaidCA

Other names 1

  • Magana Santa Fe Medical Clinic, inc Other name

National Provider Directory

National Provider Directory

Locations

8338 Rosemead Blvd
Pico Rivera, CA 90660
Phone (562) 942-1200

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1952464208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605111",
            "telephone_number": "562-942-1200",
            "fax_number": "562-942-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605111",
            "telephone_number": "562-942-1200",
            "fax_number": "562-942-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "MAGANA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-942-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952464208",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magana Santa Fe Medical Clinic, inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.