| Sano Medical Clinic, Inc | |
|
1444 S Main St Santa Ana CA 92707-1717 | |
| (714) 835-4330 | |
| Not Available |
| Full Name | Sano Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1444 S Main St, Santa Ana, California |
| Authorized Official Name and Position | James Stirbl (PRESIDENT) |
| Authorized Official Contact | 7147438022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sano Medical Clinic, Inc 1444 South Main St Santa Ana CA 92707 Ph: (714) 835-4330 | Sano Medical Clinic, Inc 1444 S Main St Santa Ana CA 92707-1717 Ph: (714) 835-4330 |
| NPI Number | 1528144755 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 6709853427 |
|---|---|
| Medicare Enrollment ID | O20040913001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528144755 | NPI | - | NPPES |
| GR0010030 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | James Stirbl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326131640 PECOS PAC ID: 8527035237 Enrollment ID: I20040913000985 |
| Provider Name | Ruth Meei-jy Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911697 PECOS PAC ID: 8527388347 Enrollment ID: I20150519001793 |
| Provider Name | Heather R Amante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386937035 PECOS PAC ID: 8325331390 Enrollment ID: I20160728000858 |
| Provider Name | Stacy Anne Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144719527 PECOS PAC ID: 0244589018 Enrollment ID: I20180828002028 |
| Provider Name | Judith Lynn Eilmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306331988 PECOS PAC ID: 9133471956 Enrollment ID: I20181005001898 |
| Provider Name | Sara Calderon Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174988174 PECOS PAC ID: 9335471440 Enrollment ID: I20191022003391 |
| Provider Name | Shawnna Boyd-morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689717829 PECOS PAC ID: 4486066784 Enrollment ID: I20201210000740 |
| Provider Name | Rosemay Pugoy Ricaforte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235700758 PECOS PAC ID: 8022492453 Enrollment ID: I20220901003099 |
| Provider Name | Monica Del Carmen White Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710624424 PECOS PAC ID: 8527439090 Enrollment ID: I20230119001771 |
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