MILAGROS MEDICAL INC
NPI 1952150989
Nurse Practitioner - Primary Care in San Francisco, CA

Active since May 13, 2024CLIA 05D2310494 · Waiver
2400 MISSION ST, SAN FRANCISCO, CA 94110(415) 400-5125 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Milagros Medical Inc NPPES

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

MILAGROS MEDICAL INC (NPI 1952150989) is a healthcare organization registered as a primary care in San Francisco, California and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through September 3, 2026, maintains a secondary practice location in San Jose, and lists Mauricio Simbeck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952150989
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMILAGROS MEDICAL INC
Location Address2400 MISSION STSan Francisco, CA 94110-2415
Mailing Address2400 Mission StSan Francisco, CA 94110-2415 · (415) 400-5125
Organization SubpartNo
Authorized OfficialMauricio SimbeckCeo · (650) 400-0405
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
NPI 1952150989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2400 MISSION ST, San Francisco, CA 94110

Secondary Practice Location 1

Location 1996 S King RdSan Jose, CA 95116-3506 · Phone (408) 649-3423

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 2

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 05D2310494

Milagros Medical · San Jose, CA
Active · expires Sep 3, 2026
CLIA Number05D2310494
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorLalita Abhyankar
Laboratory Phone(408) 649-3423
Laboratory LocationMilagros Medical996 S King Rd, San Jose, CA 95116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2267282

Milagros Medical · San Francisco, CA
Expired · Aug 22, 2026
CLIA Number05D2267282
Laboratory TypePractitioner Other
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorHomero Rivas
Laboratory Phone(415) 400-5125
Laboratory LocationMilagros Medical2400 Mission Street, San Francisco, CA 94110
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 5

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

Nurse Practitioner (Family)
2400 MISSION ST
SAN FRANCISCO, CA 94110
Internal Medicine
2400 MISSION ST, QUICKHEALTH SAN FRANCISCO
SAN FRANCISCO, CA 94110
Pharmacy (Community/Retail Pharmacy)
2400 MISSION ST
SAN FRANCISCO, CA 94110
Physician Assistant
2400 MISSION ST
SAN FRANCISCO, CA 94110
Nurse Practitioner (Family)
2400 MISSION ST
SAN FRANCISCO, CA 94110

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 Milagros Medical Inc's NPI number?

The NPI number for Milagros Medical Inc is 1952150989. It was assigned to this organization in the NPPES registry on May 13, 2024.

Where is Milagros Medical Inc located?

Milagros Medical Inc is located at 2400 Mission St, San Francisco, CA 94110. The listed phone number is (415) 400-5125.

What is Milagros Medical Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Milagros Medical Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2310494) is associated with this NPI, valid through September 3, 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 Milagros Medical Inc was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.