CLINICA MEDICA MI FAMILIA DE PALMDALE, INC.


Address: 1037 E Palmdale Blvd, Suite 101, Palmdale, CA 93550-4745
Phone: 6612660800

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA15859 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1037 E PALMDALE BLVD
SUITE 101
City PALMDALE
State CA
Zip Code 93550-4745

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PALMDALE
Zip Code 93550

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Dataset Information

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.

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