Provider Type Icon

MID CITY ASSOCIATES MEDICAL GROUP NPI 1427113463


NPI Information

NPI: 1427113463
Provider Name: MID CITY ASSOCIATES MEDICAL GROUP

Doing Business As: CLINICA DE SALUD FAMILIAR/ FAMILY HEALTH CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0868062

Address:
12610 GLENOAKS BLVD
SYLMAR, CA
ZIP 91342
Phone: (818) 361-4111
Get Directions

MID CITY ASSOCIATES MEDICAL GROUP is a specialist in Sylmar, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID CITY ASSOCIATES MEDICAL GROUP NPI is 1427113463. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica De Salud Familiar/ Family Health Clinic.

The provider's business location address is:

12610 GLENOAKS BLVD
SYLMAR, CA
ZIP 91342-783
Phone: (818) 361-4111
Fax: (818) 361-7584

The provider's authorized official is Jorge Antonio Almendares .
The authorized official title is Administrator and has the following contact phone number (818) 361-4111.

The CLIA number assigned to this NPI record is 05D0868062 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/27/2006 and was last updated on 6/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA44112CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W10090AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0043091MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.