1. Home
  2. Directory
  3. California
  4. South Gate
  5. Family Medicine
  6. NPI Profile

SAMARITANA MEDICAL CLINIC,INC.
NPI 1154887560
Family Medicine in South Gate, CA

Active since February 11, 2019CLIA 05D2291418 · Waiver
4149 TWEEDY BLVD STE B, SOUTH GATE, CA 90280(323) 825-0180(877) 340-3470 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2020, Jun 4, 2019, Feb 11, 2019 (3 updates tracked since 2019).

About Samaritana Medical Clinic,inc. NPPES

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

SAMARITANA MEDICAL CLINIC,INC. (NPI 1154887560) is a healthcare organization registered as a family medicine in South Gate, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Rudy Martinez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154887560
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAMARITANA MEDICAL CLINIC,INC.
Location Address4149 TWEEDY BLVD STE BSouth Gate, CA 90280-6167
Mailing Address2661 E Florence Ave Ste BHuntington Park, CA 90255-4793 · (323) 583-3375 · Fax (877) 340-3470
Phone(323) 825-0180
Fax(877) 340-3470
Organization SubpartYesParent: -
Authorized OfficialRudy MartinezOffice Manager · (213) 483-3600
Enumeration DateFebruary 11, 2019
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1154887560 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.
4149 TWEEDY BLVD STE B, South Gate, CA 90280
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2291418

Samaritana Medical Clinic South Gate · South Gate, CA
Active · expires Oct 9, 2027
CLIA Number05D2291418
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorRaymundo Romero
Laboratory Phone(323) 825-0180
Laboratory LocationSamaritana Medical Clinic South Gate4149 Tweety Blvd Ste B, South Gate, CA 90280
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Samaritana Medical Clinic,inc.'s NPI number?

The NPI number for Samaritana Medical Clinic,inc. is 1154887560. It was assigned to this organization in the NPPES registry on February 11, 2019.

Where is Samaritana Medical Clinic,inc. located?

Samaritana Medical Clinic,inc. is located at 4149 Tweedy Blvd Ste B, South Gate, CA 90280. The listed phone number is (323) 825-0180.

What is Samaritana Medical Clinic,inc.'s specialty?

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

Does Samaritana Medical Clinic,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2291418) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Samaritana Medical Clinic,inc. was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.