SAN ANTONIO MEDICAL CLINIC, INC.
NPI 1285845503
Clinic/Center - Primary Care in La Habra, CA

Active since May 25, 2007CLIA 05D1072080 · Waiver
325 E LA HABRA BLVD, LA HABRA, CA 90631(562) 691-7100(562) 691-7101 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Antonio Medical Clinic, Inc. NPPES

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

SAN ANTONIO MEDICAL CLINIC, INC. (NPI 1285845503) is a healthcare organization registered as a primary care in La Habra, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Juan Atlacatl Alas, President, as its authorized official.

NPPES Registry Identity

NPI1285845503
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAN ANTONIO MEDICAL CLINIC, INC.
Location Address325 E LA HABRA BLVDLa Habra, CA 90631-5439
Mailing Address325 E La Habra BlvdLa Habra, CA 90631-5439 · (562) 691-7100 · Fax (562) 691-7101
Fax(562) 691-7101
Organization SubpartNo
Authorized OfficialJuan Atlacatl AlasPresident · (562) 691-7100
Enumeration DateMay 25, 2007
Last NPPES UpdateDecember 28, 2010
✔ NPI 1285845503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A56155
325 E LA HABRA BLVD, La Habra, CA 90631

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Antonio Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Antonio Medical Clinic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1720189186
18335 VALLEY BLVD
La Puente, CA 91744
(626) 810-3330
✔ PECOS✔ Accepts Medicare5.7 mi

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 05D1072080

San Antonio Medical Clinic Inc · La Habra, CA
Active · expires Aug 7, 2027
CLIA Number05D1072080
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorJuan A. Alas-Pocasangre MD
Laboratory Phone(714) 256-0351
Laboratory LocationSan Antonio Medical Clinic Inc325 E La Habra Blvd, La Habra, CA 90631
CLIA data matches this NPI record on: Address Name
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 San Antonio Medical Clinic, Inc.'s NPI number?

The NPI number for San Antonio Medical Clinic, Inc. is 1285845503. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is San Antonio Medical Clinic, Inc. located?

San Antonio Medical Clinic, Inc. is located at 325 E La Habra Blvd, La Habra, CA 90631. The listed phone number is (562) 691-7100.

What is San Antonio Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is San Antonio Medical Clinic, Inc. enrolled in Medicare?

Yes. San Antonio Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Antonio Medical Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to San Antonio Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Antonio Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1072080) is associated with this NPI, valid through August 7, 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 San Antonio Medical Clinic, Inc. was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.