CLINICA BUENA SALUD
NPI 1013264043
Non-Pharmacy Dispensing Site in Santa Ana, CA
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 05D0941857
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-02-2028
About CLINICA BUENA SALUD
This page provides the complete NPI Profile along with additional information for Clinica Buena Salud, a provider established in Santa Ana, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1013264043 assigned on August 2012. The practitioner's primary taxonomy code is 332900000X with license number PA11046 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Clinica Buena Salud. The authorized official of this NPI record is Kenny Heine (Vp Ops)
- NPI
- 1013264043 Verify this NPI
- Provider Legal Name
- CLINICAL BUENA SALUD, INC.
- Other Organization Name
- CLINICA BUENA SALUD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 520 W 17TH ST 1 SANTA ANA, CA 92706
- Location Phone
- (714) 972-2727
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-09-2012
- Last Update Date
- 10-25-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- PA11046
- License State
- CA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0941857
- Facility Type
- Physician Office
- Certificate Effective Date
- March 03, 2026
- Certificate Expiration Date
- March 02, 2028
- Laboratory Director
- DANIEL JIMENEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clinica Buena Salud to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013264043, enumerated as an "organization" on August 09, 2012.
The provider is located at 520 W 17TH ST 1 SANTA ANA, CA 92706 and the phone number is (714) 972-2727.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
