Clinica Medica San Marcos Inc
NPI 1679773840ActiveOrganization· General Practice· South Gate, CA
General Practice in South Gate, California, registered in NPPES in July 2007. The authorized official on file is Gustavo Roldan, PAC, Secretary.
Overview
| NPI | 1679773840 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2007 |
| Last updated in NPPES | Jan 10, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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