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SAN JUAN MEDICAL GROUP
NPI 1710261284
Family Medicine in Los Angeles, CA

Active since October 03, 2011CLIA 05D2029752 · Waiver
2933 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 263-2669(323) 263-2673 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 12, 2020, Sep 14, 2017 (2 updates tracked since 2017).

About San Juan Medical Group NPPES

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

SAN JUAN MEDICAL GROUP (NPI 1710261284) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through September 13, 2027, maintains a secondary practice location in South Gate, and lists Jose Sergio Sandoval, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1710261284
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELLA MEDICAL GROUP INC
Location Address2933 WHITTIER BLVDLos Angeles, CA 90023-1528
Mailing Address2933 Whittier BlvdLos Angeles, CA 90023-1528 · (323) 263-2669 · Fax (323) 263-2673
Phone(323) 263-2669
Fax(323) 263-2673
Organization SubpartNo
Authorized OfficialJose Sergio SandovalAuthorized Official · (562) 716-5620
Enumeration DateOctober 3, 2011
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1710261284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A60865
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License A73468 (CA)
2933 WHITTIER BLVD, Los Angeles, CA 90023
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Other Names 2

Doing Business AsSan Juan Medical Group
Doing Business AsClinica Familiar East La

Secondary Practice Location 1

Location 19916 San Juan AveSouth Gate, CA 90280-6108 · Phone (323) 564-1100 · Fax (323) 564-1133

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 05D2029752

San Juan Medical Group · South Gate, CA
Active · expires Sep 13, 2027
CLIA Number05D2029752
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorMaria Lourdes C. De Leon
Laboratory Phone(323) 564-1100
Laboratory LocationSan Juan Medical Group9916 San Juan Ave, 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 2

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

MS. CAROLINA CAMACHO PA
Physician Assistant
2933 WHITTIER BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 263-2669
JOSE SERGIO SANDOVAL P.A.
Physician Assistant (Medical)
2933 WHITTIER BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 263-2669

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 Bella Medical Group Inc's NPI number?

The NPI number for Bella Medical Group Inc is 1710261284. It was assigned to this organization in the NPPES registry on October 3, 2011. The provider is doing business as San Juan Medical Group and Clinica Familiar East LA.

Where is Bella Medical Group Inc located?

Bella Medical Group Inc is located at 2933 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 263-2669.

What is Bella Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bella Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029752) is associated with this NPI, valid through September 13, 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 Bella Medical Group Inc was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.