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CLINICA SANTA MARTA MEDICAL GROUP, INC
NPI 1366699027
General Practice in Los Angeles, CA

Active since August 25, 2008CLIA 05D1091450 · Waiver
3742 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 780-4100(323) 780-4110 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinica Santa Marta Medical Group, Inc NPPES

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

CLINICA SANTA MARTA MEDICAL GROUP, INC (NPI 1366699027) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Victor M Quinones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366699027
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINICA SANTA MARTA MEDICAL GROUP, INC
Location Address3742 WHITTIER BLVDLos Angeles, CA 90023-1704
Mailing Address3742 Whittier BlvdLos Angeles, CA 90023-1704 · (323) 780-4100 · Fax (323) 780-4110
Phone(323) 780-4100
Fax(323) 780-4110
Organization SubpartNo
Authorized OfficialVictor M QuinonesOffice Manager · (323) 780-4100
Enumeration DateAugust 25, 2008
Last NPPES UpdateMarch 10, 2016
✔ NPI 1366699027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A99511
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3742 WHITTIER BLVD, Los Angeles, CA 90023
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 05D1091450

Clinica Santa Marta Medical Group · Los Angeles, CA
Active · expires Oct 30, 2026
CLIA Number05D1091450
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorStephen Calvert
Laboratory Phone(323) 780-4100
Laboratory LocationClinica Santa Marta Medical Group3742 Whittier Blvd, Los Angeles, CA 90023
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 2

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

MILAGRO COMMUNITY CARE
Clinic/Center (Community Health)
3742 WHITTIER BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 780-4100
CLINICA SANTA MARTA MEDICAL GROUP
Non-Pharmacy Dispensing Site
3742 WHITTIER BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 780-4100

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 Clinica Santa Marta Medical Group, Inc's NPI number?

The NPI number for Clinica Santa Marta Medical Group, Inc is 1366699027. It was assigned to this organization in the NPPES registry on August 25, 2008.

Where is Clinica Santa Marta Medical Group, Inc located?

Clinica Santa Marta Medical Group, Inc is located at 3742 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 780-4100.

What is Clinica Santa Marta Medical Group, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Clinica Santa Marta Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1091450) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Santa Marta Medical Group, Inc was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.