CLINICA SANTA CLARA (NPI# 1659307981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659307981 |
| Entity Type | Organization |
| Organization Name | CLINICA SANTA CLARA |
| Practice Address |
7643 Atlantic Ave Cudahy CA 90201 |
| Mailing Address |
7643 S Atlantic Ave Cudahy CA 90201 |
| Practice Telephone | 3237711713 |
| Practice Fax Number | 3235621302 |
| Mailing Telephone | 3237711713 |
| Mailing Fax Number | 3235621302 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | DR. ARAM KEUSAYAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3237711713 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0060940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417076845 | Clinica Santa Clara | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-03-28 |
| Street Address |
7643 ATLANTIC AVE |
| City | CUDAHY |
| State | CA |
| Zip Code | 90201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378418 | Edgar Gonzalez | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201 | 2006-06-26 |
| 1720525793 | City Rx Inc | Pharmacy | 7643 Atlantic Ave, Suite A, Cudahy, CA 90201-5019 | 2017-01-27 |
| 1922495076 | Prohealth Partners A Medical Group | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201 | 2015-04-15 |
| 1295168250 | Clinica Santa Clara A Medical Corporation | Non-Pharmacy Dispensing Site | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2013-08-14 |
| 1639325178 | Oscar Galindo | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-1704 | 2008-08-15 |
| 1316161664 | Leticia Keusayan Gonzalez | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-04-11 |
| 1417076845 | Clinica Santa Clara | Physician Assistant | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-03-28 |
| 1811042203 | Roberto Der Boghosian Dds A Professional Dental Corporation | Dentist | 7643 Atlantic Ave, Cudahy, CA 90201-5019 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087235 | St Jude Medical Center | Clinic/Center | 4946 E Florence Ave, Bell, CA 90201 | 2019-01-21 |
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| Find all providers in zip 90201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407942311 | Jose N Prieto | Family Medicine | 4566 Florence Ave Ste 2, Cudahy, CA 90201-4346 | 2006-10-05 |
| 1043235153 | Nikki Allen | Family Medicine | 4580 S Nicholson Ave, Cudahy, WI 53110-1360 | 2006-07-12 |
| 1306208392 | Julie Navarro | Family Medicine | 7825 Atlantic Ave, Cudahy, CA 90201 | 2016-03-28 |
| 1740546829 | Fatima Ali | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2012-04-03 |
| 1932491842 | Sharareh Shabafrooz | Family Medicine | 6901 Atlantic Ave, Cudahy, CA 90201-3646 | 2011-05-11 |
| 1255647889 | Paola A Case | Family Medicine | 7825 Atlantic Ave, Cudahy, CA 90201-5022 | 2010-08-20 |
| 1558435123 | Stephen C Lamberton | Family Medicine | 5900 S. Lake Drive, Lakeshore Medical Clinic, Cudahy, WI 53110-3171 | 2006-11-17 |
| 1801974399 | Dexter R Rebancos | Family Medicine | 5900 S. Lake Drive, Cudahy, WI 53110-3171 | 2006-11-01 |
| 1518045038 | Rebecca L Scerpella | Family Medicine | 5900 S. Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110-3171 | 2006-11-01 |
| 1316025844 | Sacha Ramirez | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2006-11-01 |
| Find all providers in CUDAHY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.