San Blas Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A-79043 Issued in CA

Legal business name

SAN BLAS MEDICAL CLINIC

Doing business as

Clinica Medica San Blas

Practice address

7777 Katella Avenue
Stanton, CA 90680

Phone

(714) 220-2223

Fax

(714) 220-2249

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SAN BLAS MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Mr. Jesus Manuel Frausto Sr., MDNPI 1457864670

Title

President

Phone

(714) 220-2223

Specialties & licenses 1

Addresses

Other names 1

• Clinica Medica San Blas Doing business as

Part of

San Blas Medical Clinic

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesus M Frausto, MD

  • General Practice Physician
  • Stanton, CA
  • NPI 1457864670
  NPD (past) Authorized official

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1982035069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 KATELLA AVENUE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "90680",
            "telephone_number": "714-220-2223",
            "fax_number": "714-220-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 KATELLA AVENUE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "90680",
            "telephone_number": "714-220-2223",
            "fax_number": "714-220-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BLAS MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN BLAS MEDICAL CLINIC",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "FRAUSTO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-220-2223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A-79043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica San Blas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Kaitlin Saenz
• Sahawneh Dental Corporation (Bright Now Dental - Stanton)
• Sal Asset Management, LLC
• Jennifer Saligan
• Iris Salvador
• Antoinette Sanchez, SUDRC
• Gerald Sanchez
• Mercedes Sanchez
• Roy William Sanchez
• Aria Sandefur

• General Practice Physician in Stanton, CA
• Providers in Stanton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.