| Clinica Medica Familiar De Santa Ana | |
|
517 N Main St Suite # 100 Santa Ana CA 92701-4619 | |
| (714) 647-0401 | |
| (714) 647-9465 |
| Full Name | Clinica Medica Familiar De Santa Ana |
|---|---|
| Speciality | Clinic/Center |
| Location | 517 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Joseph Carella (OWNER) |
| Authorized Official Contact | 7146470401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Familiar De Santa Ana 517 N Main St Suite # 100 Santa Ana CA 92701-4619 Ph: (714) 647-0401 | Clinica Medica Familiar De Santa Ana 517 N Main St Suite # 100 Santa Ana CA 92701-4619 Ph: (714) 647-0401 |
| NPI Number | 1790701514 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 09/12/2016 |
| Medicare PECOS PAC ID | 8022086859 |
|---|---|
| Medicare Enrollment ID | O20040920001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790701514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jorge A Monastersky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851542781 PECOS PAC ID: 2668460205 Enrollment ID: I20040503001718 |
| Provider Name | Francisco A Jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972696573 PECOS PAC ID: 2062493059 Enrollment ID: I20040526000527 |
| Provider Name | Joseph A Carella |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548277767 PECOS PAC ID: 4082527833 Enrollment ID: I20040921000384 |
| Provider Name | Robert J Borrowdale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013958545 PECOS PAC ID: 0244407971 Enrollment ID: I20120120000826 |
| Provider Name | Lynda Y Lopez-freyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730425695 PECOS PAC ID: 0244528115 Enrollment ID: I20161007001498 |
| Provider Name | Jennifer Salaveria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205470408 PECOS PAC ID: 6204206147 Enrollment ID: I20230110002001 |
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