SAN MIGUEL MEDICAL CLINIC, INC
NPI 1801992565
Clinic/Center in South Gate, CA

Active since September 16, 2006CLIA 05D0864481 · Waiver
8204 LONG BEACH BLVD, SUITE B, SOUTH GATE, CA 90280(323) 588-3300(323) 588-0855 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Miguel Medical Clinic, Inc NPPES

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

SAN MIGUEL MEDICAL CLINIC, INC (NPI 1801992565) is a healthcare organization registered as a clinic/center in South Gate, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Naim Salama, Owner, as its authorized official.

NPPES Registry Identity

NPI1801992565
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN MIGUEL MEDICAL CLINIC, INC
Location Address8204 LONG BEACH BLVD, SUITE BSouth Gate, CA 90280-2011
Mailing Address8204 Long Beach Blvd, Suite BSouth Gate, CA 90280-2011 · (323) 588-3300 · Fax (323) 588-0855
Fax(323) 588-0855
Organization SubpartNo
Authorized OfficialNaim SalamaOwner · (323) 588-3300
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1801992565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · FNP14677
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8204 LONG BEACH BLVD, South Gate, CA 90280

Other Identifiers 1

MedicaidGR0066650CA

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 05D0864481

San Miguel Medical Clinic · South Gate, CA
Active · expires Aug 31, 2026
CLIA Number05D0864481
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNaim Salama
Laboratory Phone(213) 588-3300
Laboratory LocationSan Miguel Medical Clinic8204 Long Bch Bl #b, South Gate, CA 90280
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Pediatrics
8204 LONG BEACH BLVD, SUITE B
SOUTH GATE, CA 90280
Pediatrics
8204 LONG BEACH BLVD, SUITE B
SOUTH GATE, CA 90280
Family Medicine
8204 LONG BEACH BLVD, SUITE #B
SOUTH GATE, CA 90280
Family Medicine
8204 LONG BEACH BLVD, SUITE B
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 San Miguel Medical Clinic, Inc's NPI number?

The NPI number for San Miguel Medical Clinic, Inc is 1801992565. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is San Miguel Medical Clinic, Inc located?

San Miguel Medical Clinic, Inc is located at 8204 Long Beach Blvd Suite B, South Gate, CA 90280. The listed phone number is (323) 588-3300.

What is San Miguel Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does San Miguel Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0864481) is associated with this NPI, valid through August 31, 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 San Miguel Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.