CLINICA MEDICA MI FAMILIA DE PALMDALE, INC. (NPI# 1770984254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770984254 |
Entity Type | Organization |
Organization Name | CLINICA MEDICA MI FAMILIA DE PALMDALE, INC. |
Practice Address |
1037 E Palmdale Blvd Suite 101 Palmdale CA 93550-4745 |
Practice Telephone | 6612660800 |
Mailing Telephone | 6612660800 |
Enumeration Date | 2014-09-15 |
Last Update Date | 2015-05-14 |
Authorized Official Name | DR. CARLOS S MARTINEZ (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6612660800 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15859 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1037 E PALMDALE BLVD SUITE 101 |
City | PALMDALE |
State | CA |
Zip Code | 93550-4745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326095373 | Lucjan Krzysiak | Internal Medicine | 1037 E Palmdale Blvd, Palmdale, CA 93550 | 2006-05-27 |
1205380052 | Pegah Tehrani | Dentist | 1037 E Palmdale Blvd, Palmdale, CA 93550-4745 | 2016-08-10 |
1083922777 | Lee Orthopaedic Institute | Durable Medical Equipment & Medical Supplies | 1037 E Palmdale Blvd, Suite 201, Palmdale, CA 93550-4745 | 2010-09-16 |
1386856474 | Sierra Primary Care Medical Group | Health Maintenance Organization | 1037 E Palmdale Blvd, Palmdale, CA 93550-4745 | 2007-05-03 |
1437204070 | Jeffrey A. Sulitzer, Dmd, Inc | Dentist | 1037 E Palmdale Blvd, Suite 203, Palmdale, CA 93550-4745 | 2007-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
Find all providers in zip 93550 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508057316 | Kay Dee Roberts | Physician Assistant | 41230 11th St W Ste E, Palmdale, CA 93551-1411 | 2007-08-06 |
1013018944 | Brian Adam Schlesinger | Physician Assistant | 1037 E. Palmdale Blvd., Palmdale, CA 93550 | 2006-09-25 |
1366724650 | Aaron Bledsoe | Physician Assistant | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2011-09-13 |
1568645000 | Suzanne Marie Percival-pacini | Physician Assistant | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2007-12-06 |
1003871450 | Cynthia Gayle James | Physician Assistant | 41210 11th St W, Ste G, Palmdale, CA 93551-1447 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on CLINICA MEDICA MI FAMILIA DE PALMDALE, INC..
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.