SANTA MARYA FAMILY MEDICINE CLINIC,INC
NPI 1245620442
Clinic/Center in Anaheim, CA
About Santa Marya Family Medicine Clinic,inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTA MARYA FAMILY MEDICINE CLINIC,INC (NPI 1245620442) is a healthcare organization registered as a clinic/center in Anaheim, California and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Catherine Marks, Md. President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Santa Marya Family Medicine Clinic,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Santa Marya Family Medicine Clinic,inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2095377
Santa Marya Family Medicine Clinic Inc · Anaheim, CAFrequently 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 Santa Marya Family Medicine Clinic,inc's NPI number?
The NPI number for Santa Marya Family Medicine Clinic,inc is 1245620442. It was assigned to this organization in the NPPES registry on January 27, 2015.
Where is Santa Marya Family Medicine Clinic,inc located?
Santa Marya Family Medicine Clinic,inc is located at 3400 W Ball Rd Suite 202, Anaheim, CA 92804. The listed phone number is (714) 236-9663.
What is Santa Marya Family Medicine Clinic,inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Santa Marya Family Medicine Clinic,inc enrolled in Medicare?
Yes. Santa Marya Family Medicine Clinic,inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santa Marya Family Medicine Clinic,inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Santa Marya Family Medicine Clinic,inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Santa Marya Family Medicine Clinic,inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2095377) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Santa Marya Family Medicine Clinic,inc was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Santa Marya Family Medicine Clinic,inc · NPI 1245620442
Clinic/Center organization in Anaheim, California. Organization record, active in the CMS NPPES registry since January 27, 2015.
## Identity
- **NPI:** 1245620442 (Entity type: Organization)
- **Enumerated:** January 27, 2015
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Catherine Marks, MD. PRESIDENT
## Practice location
- **Address:** 3400 W BALL RD, SUITE 202, Anaheim, CA 92804-3735
- **Phone:** (714) 236-9663
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245620442) · Data from the CMS NPPES public registry.