Organization Active NPI

San Antonio Medical Center Inc.

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1972825305
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A36951 Issued in CA
Legal business name
SAN ANTONIO MEDICAL CENTER INC.
Practice address
610 W. 17TH Street
Santa Ana, CA 92706
Phone
(714) 541-4090
Fax
(714) 541-8815
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Ihsan Najib Shamaan, M.D.
Title
Medical Director/Owner
Phone
(714) 541-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A36951 CA Primary

Addresses

Primary practice location

610 W. 17TH Street
Santa Ana, CA 92706

Mailing address

P.O. Box 6098
Santa Ana, CA 92706
Phone (714) 541-4090

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1972825305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6098",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-541-4090",
            "fax_number": "714-541-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W. 17TH STREET",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-541-4090",
            "fax_number": "714-541-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "SHAMAAN",
        "authorized_official_first_name": "IHSAN",
        "authorized_official_middle_name": "NAJIB",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "714-541-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.