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SANTA ADELINA MEDICAL CLINIC INC
NPI 1508284878
General Practice in Azusa, CA

Active since April 02, 2014CLIA 05D1036247 · Waiver
680 E ALOSTA AVE, SUITE 209, AZUSA, CA 91702(626) 812-9733(626) 981-2974 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santa Adelina Medical Clinic Inc NPPES

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

SANTA ADELINA MEDICAL CLINIC INC (NPI 1508284878) is a healthcare organization registered as a general practice in Azusa, California and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Jorge Velazquez, President, as its authorized official.

NPPES Registry Identity

NPI1508284878
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSANTA ADELINA MEDICAL CLINIC INC
Location Address680 E ALOSTA AVE, SUITE 209Azusa, CA 91702-2705
Mailing Address680 E Alosta Ave, Suite 209Azusa, CA 91702-2705 · (626) 812-9733 · Fax (626) 981-2974
Phone(626) 812-9733
Fax(626) 981-2974
Organization SubpartNo
Authorized OfficialJorge VelazquezPresident · (626) 812-9733
Enumeration DateApril 2, 2014
✔ NPI 1508284878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
680 E ALOSTA AVE, Azusa, CA 91702
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D1036247

Santa Adelina Medical Clinic, Inc · Azusa, CA
Active · expires Jan 24, 2027
CLIA Number05D1036247
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorRubio R. Punzalan
Laboratory Phone(626) 812-9733
Laboratory LocationSanta Adelina Medical Clinic, Inc680 E Alosta Ave Suite 209, Azusa, CA 91702
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.

AZUSA PHYSICAL THERAPY ASSOCIATES
Physical Therapist (Orthopedic)
680 E ALOSTA AVE, SUITE 212
AZUSA, CA 91702
Los Angeles County (714) 679-1085
MR. JORGE LUIS VELAZQUEZ PA
Physician Assistant (Medical)
680 E ALOSTA AVE
AZUSA, CA 91702
Los Angeles County (626) 812-9733

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 Adelina Medical Clinic Inc's NPI number?

The NPI number for Santa Adelina Medical Clinic Inc is 1508284878. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Santa Adelina Medical Clinic Inc located?

Santa Adelina Medical Clinic Inc is located at 680 E Alosta Ave Suite 209, Azusa, CA 91702. The listed phone number is (626) 812-9733.

What is Santa Adelina Medical Clinic Inc's specialty?

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

Does Santa Adelina Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1036247) is associated with this NPI, valid through January 24, 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 Santa Adelina Medical Clinic Inc was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.