Organization Active NPI

Las Americas Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Arleta, CA
National Provider Identifier
1972891778
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A21210 Issued in CA
Legal business name
LAS AMERICAS MEDICAL CLINIC, INC
Practice address
9128 Woodman Ave
Arleta, CA 91331-6405
Phone
(818) 892-7795
Fax
(818) 892-7797
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Angel De Mola, MD
Title
Owner
Phone
(626) 357-0914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A21210 CA Primary

Addresses

Primary practice location

9128 Woodman Ave
Arleta, CA 91331-6405

Mailing address

9128 Woodman Ave
Arleta, CA 91331-6405
Phone (818) 892-7795

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1077263Las Americas Medical Clinic9128 Woodman Ave, Arleta, CA 91331Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1972891778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316405",
            "telephone_number": "818-892-7795",
            "fax_number": "818-892-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316405",
            "telephone_number": "818-892-7795",
            "fax_number": "818-892-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS AMERICAS MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "DE MOLA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-357-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A21210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.