CLINICA SAN MARCOS MEDICAL CENTER APC
NPI 1396420394
General Practice in South Gate, CA

Active since June 16, 2023CLIA 05D2274256 · Waiver
3221 LIBERTY BLVD, SOUTH GATE, CA 90280(323) 566-9171(323) 566-9178 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinica San Marcos Medical Center Apc NPPES

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

CLINICA SAN MARCOS MEDICAL CENTER APC (NPI 1396420394) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Neil David Katchman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396420394
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINICA SAN MARCOS MEDICAL CENTER APC
Location Address3221 LIBERTY BLVDSouth Gate, CA 90280-2315
Mailing Address3221 Liberty BlvdSouth Gate, CA 90280-2315 · (323) 566-9171 · Fax (323) 566-9178
Fax(323) 566-9178
Organization SubpartNo
Authorized OfficialNeil David KatchmanCeo · (323) 566-9171
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
NPI 1396420394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3221 LIBERTY BLVD, South Gate, CA 90280

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 05D2274256

Clinica San Marcos Medical Center Inc · South Gate, CA
Active · expires Dec 28, 2026
CLIA Number05D2274256
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorNeil Katchman
Laboratory Phone(323) 566-9171
Laboratory LocationClinica San Marcos Medical Center Inc3221 Liberty Blvd, South Gate, CA 90280
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 3

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

Clinic/Center (Primary Care)
3221 LIBERTY BLVD
SOUTH GATE, CA 90280
General Practice
3221 LIBERTY BLVD
SOUTH GATE, CA 90280
Physician Assistant
3221 LIBERTY BLVD
SOUTH GATE, CA 90280

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 San Marcos Medical Center Apc's NPI number?

The NPI number for Clinica San Marcos Medical Center Apc is 1396420394. It was assigned to this organization in the NPPES registry on June 16, 2023.

Where is Clinica San Marcos Medical Center Apc located?

Clinica San Marcos Medical Center Apc is located at 3221 Liberty Blvd, South Gate, CA 90280. The listed phone number is (323) 566-9171.

What is Clinica San Marcos Medical Center Apc's specialty?

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

Does Clinica San Marcos Medical Center Apc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2274256) is associated with this NPI, valid through December 28, 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 San Marcos Medical Center Apc was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.