SANTA MARYA FAMILY MEDICINE CLINIC,INC
NPI 1245620442
Clinic/Center in Anaheim, CA

Active since January 27, 2015CLIA 05D2095377 · Waiver
3400 W BALL RD, SUITE 202, ANAHEIM, CA 92804(714) 236-9663 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1245620442
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSANTA MARYA FAMILY MEDICINE CLINIC,INC
Location Address3400 W BALL RD, SUITE 202Anaheim, CA 92804-3735
Mailing Address3400 W Ball Rd Ste 202Anaheim, CA 92804-3735 · (714) 236-9663 · Fax (714) 644-8212
Organization SubpartNo
Authorized OfficialCatherine MarksMd. President · (714) 236-9663
Enumeration DateJanuary 27, 2015
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1245620442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3400 W BALL RD, Anaheim, CA 92804

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, CA
Active · expires Apr 8, 2028
CLIA Number05D2095377
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorAssanassios M. Faltas MD
Laboratory Phone(714) 236-9663
Laboratory LocationSanta Marya Family Medicine Clinic Inc3400 W Ball Rd, Ste 202, Anaheim, CA 92804
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 15

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

Specialist
3400 W BALL RD, SUITE 102
ANAHEIM, CA 92804
Internal Medicine (Geriatric Medicine)
3400 W BALL RD, #100
ANAHEIM, CA 92804
Clinic/Center (Oncology, Radiation)
3400 W BALL RD, STE 101
ANAHEIM, CA 92804
Acupuncturist
3400 W BALL RD, SUITE 101 A
ANAHEIM, CA 92804
Radiology (Radiation Oncology)
3400 W BALL RD, 101
ANAHEIM, CA 92804
Nurse Practitioner (Psychiatric/Mental Health)
3400 W BALL RD, SUITE 100 B
ANAHEIM, CA 92804
Registered Nurse (Psychiatric/Mental Health)
3400 W BALL RD, SUITE 100B
ANAHEIM, CA 92804
Family Medicine
3400 W BALL RD, SUITE 207
ANAHEIM, CA 92804

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 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.

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 47 days 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.