CLINICA MEDICA MI SALUD, INC.
NPI 1104645282
Family Medicine in La Puente, CA

Active since October 07, 2024CLIA 05D2315245 · Waiver
1840 N HACIENDA BLVD STE 3, LA PUENTE, CA 91744(626) 350-7087 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinica Medica Mi Salud, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA MEDICA MI SALUD, INC. (NPI 1104645282) is a healthcare organization registered as a family medicine in La Puente, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Lorenzo Vazquez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104645282
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINICA MEDICA MI SALUD, INC.
Location Address1840 N HACIENDA BLVD STE 3La Puente, CA 91744-1143
Mailing Address1840 N Hacienda Blvd Ste 3La Puente, CA 91744-1143 · (626) 350-7087
Organization SubpartNo
Authorized OfficialLorenzo VazquezCeo · (626) 422-5958
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
NPI 1104645282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1840 N HACIENDA BLVD STE 3, La Puente, CA 91744

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2315245

Clinica Medica Mi Salud, Inc · La Puente, CA
Active · expires Dec 8, 2026
CLIA Number05D2315245
Laboratory TypeHealth Main. Organization
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorLorenzo Vazquez
Laboratory Phone(626) 350-7087
Laboratory LocationClinica Medica Mi Salud, Inc1840 N Hacienda Blvd Suite 3, La Puente, CA 91744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
1840 N HACIENDA BLVD STE 3
LA PUENTE, CA 91744
Family Medicine
1840 N HACIENDA BLVD STE 3
LA PUENTE, CA 91744
General Practice
1840 N HACIENDA BLVD STE 3
LA PUENTE, CA 91744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica Medica Mi Salud, Inc.'s NPI number?

The NPI number for Clinica Medica Mi Salud, Inc. is 1104645282. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Clinica Medica Mi Salud, Inc. located?

Clinica Medica Mi Salud, Inc. is located at 1840 N Hacienda Blvd Ste 3, La Puente, CA 91744. The listed phone number is (626) 350-7087.

What is Clinica Medica Mi Salud, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clinica Medica Mi Salud, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2315245) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Medica Mi Salud, Inc. was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.