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CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC,INC
NPI 1679824429
Clinic/Center - Primary Care in Anaheim, CA

Active since September 19, 2012CLIA 05D1022504 · Waiver
500 N ANAHEIM BLVD, ANAHEIM, CA 92805(714) 502-9022(714) 999-2450 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinica Medica Mi Pueblo, Medical Clinic,inc NPPES

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

CLINICA MEDICA MI PUEBLO, MEDICAL CLINIC,INC (NPI 1679824429) is a healthcare organization registered as a primary care in Anaheim, California and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Thomas J Magee, Owner, as its authorized official.

NPPES Registry Identity

NPI1679824429
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINICA MEDICA MI PUEBLO, MEDICAL CLINIC,INC
Location Address500 N ANAHEIM BLVDAnaheim, CA 92805-2647
Mailing Address6055 E Washington Blvd, Suite 240Commerce, CA 90040-2449 · (323) 726-0333 · Fax (323) 726-0313
Phone(714) 502-9022
Fax(714) 999-2450
Organization SubpartNo
Authorized OfficialThomas J MageeOwner · (323) 726-0333
Enumeration DateSeptember 19, 2012
✔ NPI 1679824429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
500 N ANAHEIM BLVD, Anaheim, CA 92805
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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 05D1022504

Clinica Medica Mi Pueblo Inc · Anaheim, CA
Active · expires Nov 14, 2027
CLIA Number05D1022504
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorJorge Delgadillo MD
Laboratory Phone(714) 502-9022
Laboratory LocationClinica Medica Mi Pueblo Inc500 N Anaheim Blvd, Anaheim, CA 92805
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.

MRS. HILDA F NOWAK PA-C
Physician Assistant
500 N ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 502-9022
MARIA VIRGINIA CABALLERO PA-C
Physician Assistant
500 N ANAHEIM BLVD
ANAHEIM, CA 92805
Orange County (714) 502-9022

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 Medica Mi Pueblo, Medical Clinic,inc's NPI number?

The NPI number for Clinica Medica Mi Pueblo, Medical Clinic,inc is 1679824429. It was assigned to this organization in the NPPES registry on September 19, 2012.

Where is Clinica Medica Mi Pueblo, Medical Clinic,inc located?

Clinica Medica Mi Pueblo, Medical Clinic,inc is located at 500 N Anaheim Blvd, Anaheim, CA 92805. The listed phone number is (714) 502-9022.

What is Clinica Medica Mi Pueblo, Medical Clinic,inc's specialty?

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

Does Clinica Medica Mi Pueblo, Medical Clinic,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1022504) is associated with this NPI, valid through November 14, 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 Clinica Medica Mi Pueblo, Medical Clinic,inc was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.