Santa Maria Medical Clinic Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SANTA MARIA MEDICAL CLINIC INC

Practice address

1701 E McFadden Ave Ste D
Santa Ana, CA 92705-4647

Phone

(714) 953-6430

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Kaveh Karandish, MD

Title

Ceo/Owner

Phone

(714) 953-6430

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1992572234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MCFADDEN AVE STE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054647",
            "telephone_number": "714-953-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MCFADDEN AVE STE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054647",
            "telephone_number": "714-953-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KARANDISH",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "714-953-6430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Santa Ana Tustin Radiology Medical Group
• Santa Ana Unified School District
• Santa Maria Medical Group Inc
• Cynthia Yuber Santana
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• Veronica Alicia Santana
• Elizabeth Sarah Santangelo, RN

• Adult Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.