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SAN MARTIN DEPORRES MEDICAL GROUP
NPI 1861513525
Family Medicine - Geriatric Medicine in Santa Ana, CA

Active since April 02, 2007
1701 E MCFADDEN AVE, UNIT D, SANTA ANA, CA 92705(714) 953-6430 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Martin Deporres Medical Group NPPES

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

SAN MARTIN DEPORRES MEDICAL GROUP (NPI 1861513525) is a healthcare organization registered as a geriatric medicine in Santa Ana, California and active in the NPI registry since April 2007. The organization lists Jacob N Flores, Owner, as its authorized official.

NPPES Registry Identity

NPI1861513525
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSAN MARTIN DEPORRES MEDICAL GROUP
Location Address1701 E MCFADDEN AVE, UNIT DSanta Ana, CA 92705-4647
Mailing Address1701 E Mcfadden Ave, Unit DSanta Ana, CA 92705-4647 · (714) 953-6430
Phone(714) 953-6430
Organization SubpartNo
Authorized OfficialJacob N FloresOwner · (714) 953-6430
Enumeration DateApril 2, 2007
Last NPPES UpdateMarch 9, 2011
✔ NPI 1861513525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · A60865
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License W11619 (CA)
1701 E MCFADDEN AVE, Santa Ana, CA 92705
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Other Identifiers 2

Medicare PINA60865CA
Medicare PINW11619CA

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

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.

COMMUNITY OUTREACH MEDICAL SERVICE
Family Medicine
1701 E MCFADDEN AVE, UNIT D
SANTA ANA, CA 92705
Orange County (323) 298-1668
RAJAN GARG MD
General Practice
1701 E MCFADDEN AVE, SUITE D
SANTA ANA, CA 92705
Orange County (714) 953-6430
SAN MARTIN DEPORRES MEDICAL GROUP OF SANTA ANA
Family Medicine
1701 E MCFADDEN AVE, UNIT D
SANTA ANA, CA 92705
Orange County (714) 953-6430

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 Martin Deporres Medical Group's NPI number?

The NPI number for San Martin Deporres Medical Group is 1861513525. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is San Martin Deporres Medical Group located?

San Martin Deporres Medical Group is located at 1701 E Mcfadden Ave Unit D, Santa Ana, CA 92705. The listed phone number is (714) 953-6430.

What is San Martin Deporres Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for San Martin Deporres Medical Group was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.