NPIMap

Organization Active NPI

San Cristobal Medical Group

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1972553493
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN CRISTOBAL MEDICAL GROUP
Practice address
1061 E Vernon Ave
Los Angeles, CA 90011-3772
Phone
(213) 413-4203
Fax
(213) 413-5615
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Anibal Falla
Title
Ceo
Phone
(213) 413-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

1061 E Vernon Ave
Los Angeles, CA 90011-3772

Mailing address

1930 Wilshire Blvd
Suite 405
Los Angeles, CA 90057-3605
Phone (213) 413-4203

National Provider Directory

National Provider Directory
Tax ID family
San Cristobal Medical Group Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972553493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "SUITE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-413-4203",
            "fax_number": "213-413-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113772",
            "telephone_number": "213-413-4203",
            "fax_number": "213-413-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CRISTOBAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FALLA",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-413-4203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.