SAN MANUEL MEDICAL CLINIC, INC (NPI# 1902192362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902192362 |
| Entity Type | Organization |
| Organization Name | SAN MANUEL MEDICAL CLINIC, INC |
| Other Organization Name | PHILLIP RUIZ |
| Practice Address |
7400 Pacific Blvd A Huntington Park CA 90255-5739 |
| Mailing Address |
7400 Pacific Blvd Suite# A-b Walnut Park CA 90255-5739 |
| Practice Telephone | 3235848881 |
| Practice Fax Number | 3235848882 |
| Mailing Telephone | 3235848881 |
| Mailing Fax Number | 3235848882 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | PHILLIP A RUIZ (DIRECTOR) |
| Authorized Official Telephone | 3235848881 |
| Authorized Official Credential | M,D |
| Is Organization Subpart | Y |
| Parent Organization Name | MULTI-CULTURAL MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A30390 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A41503 | CA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA15560 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | A44599 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MULTI-SPECIALTY GROUP- FAMILY MEDICINE | A44599 | 01 |
| CA | MULTI-SPECIALTY GROUP-PHYSICIAN ASSISTANT | PA15560 | 01 |
| Other Name | Type Code |
|---|---|
| PHILLIP RUIZ | Doing Business As Name - Organization |
| Street Address |
7400 PACIFIC BLVD A |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296240 | Gabby Nyrene Ramirez | Behavior Technician | 7400 Pacific Blvd, Huntington Park, CA 90255-5739 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| 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 |
|---|---|---|---|---|
| 1891107587 | Hp Family Clinic, Inc | Family Medicine | 7014 Santa Fe Ave, Huntington Park, CA 90255-3910 | 2014-05-29 |
| 1891904686 | Gage Medical Center, Inc | Family Medicine | 2719 E Gage Ave, Huntington Park, CA 90255-4202 | 2007-05-21 |
| 1194866525 | Ralph Mayer M.d. Inc | Family Medicine | 2568 Clarendon Ave, Huntington Park, CA 90255-4073 | 2007-02-09 |
| 1073678009 | Romulo R. Ricaforte | Family Medicine | 7128 Pacific Blvd # 200, Huntington Park, CA 90255-4776 | 2006-12-27 |
| 1023198322 | Shoaleh Yermian | Family Medicine | 2402 E Florence Ave, Huntington Park, CA 90255-5727 | 2006-10-17 |
| 1902901762 | Firstsoto Medical Group | Family Medicine | 2680 E Florence Ave, Huntington Park, CA 90255-4708 | 2006-09-14 |
| 1528071727 | Tahani B Soliman | Family Medicine | 6526 Rugby Ave, Huntington Park, CA 90255 | 2006-08-15 |
| 1285654350 | Juan Carlos Ramirez | Family Medicine | 3357 East Gage Ave., Huntington Park, CA 90255 | 2006-07-20 |
| 1225084213 | Sepehr Katiraie | Family Medicine | 2625 E Florence Ave Ste D, Huntington Park, Huntington Park, CA 90255-4756 | 2006-05-25 |
| 1194790774 | Bindu George | Family Medicine | 2750 E Slauson Ave, Huntington Park, CA 90255-3063 | 2006-02-17 |
| Find all providers in HUNTINGTON PARK | ||||
| City | HUNTINGTON PARK |
| Zip Code | 90255 |
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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.