SANTA MARYA FAMILY MEDICINE CLINIC,INC
NPI 1245620442
Clinic/Center in Anaheim, CA
NPI Status: Active since January 27, 2015
Contact Information
3400 W BALL RD
SUITE 202
ANAHEIM, CA
ZIP 92804
Phone: (714) 236-9663
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- CLIA Number: 05D2095377
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-08-2028
About SANTA MARYA FAMILY MEDICINE CLINIC,INC
This page provides the complete NPI Profile along with additional information for Santa Marya Family Medicine Clinic,inc, a provider established in Anaheim, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245620442 assigned on January 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Dr. Catherine Marks Md (Md. President)
- NPI
- 1245620442
- Provider Name
- SANTA MARYA FAMILY MEDICINE CLINIC,INC
- Entity Type
- Organization
- Location Address
- 3400 W BALL RD SUITE 202 ANAHEIM, CA 92804
- Location Phone
- (714) 236-9663
- Mailing Address
- 3400 W BALL RD STE 202 ANAHEIM, CA 92804
- Mailing Phone
- (714) 236-9663
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2015
- Last Update Date
- 06-18-2026
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
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
- 05D2095377
- Facility Type
- Physician Office
- Certificate Effective Date
- April 09, 2026
- Certificate Expiration Date
- April 08, 2028
- Laboratory Director
- ASSANASSIOS M. FALTAS MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Santa Marya Family Medicine Clinic,inc 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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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245620442, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
ANAHEIM, CA 92804
ANAHEIM, CA 92804
ANAHEIM, CA 92804
ANAHEIM, CA 92804
ANAHEIM, CA 92804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245620442, enumerated as an "organization" on January 27, 2015.
The provider is located at 3400 W BALL RD SUITE 202 ANAHEIM, CA 92804 and the phone number is (714) 236-9663.
Clinic/Center with taxonomy code 261Q00000X.
