SANTO NINO MEDICAL GROUP INC NPI 1770685612

NPI Information

NPI: 1770685612
Provider Name: SANTO NINO MEDICAL GROUP INC

Doing Business As: SANTO NINO MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
14427 CHASE ST
STE. 100
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 830-7751
Get Directions

SANTO NINO MEDICAL GROUP INC is a family medicine in Panorama City, CA. The provider is 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. SANTO NINO MEDICAL GROUP INC NPI is 1770685612. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Santo Nino Medical Clinic.

The provider's business location address is:

14427 CHASE ST
STE. 100
PANORAMA CITY, CA
ZIP 91402-020
Phone: (818) 830-7751
Fax: (818) 891-7892

The provider's authorized official is Rene Aujero Lim .
The authorized official title is President / Owner and has the following contact phone number (818) 830-7751.

The CLIA number assigned to this NPI record is 05D0983914 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/15/2014.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	PA15625	CALIFORNIA	No
2	208D00000X	General Practice	G080659	CALIFORNIA	No
3	363A00000X	Physician Assistant	PA21838	CALIFORNIA	No
4	207Q00000X	Family Medicine	C50675	CALIFORNIA	No
5	207Q00000X	Family Medicine	A44687	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W15822	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE
2	GR0092750	MEDICAID	CALIFORNIA
3	E90066	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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