SAN MARTIN DEPORRES MEDICAL GROUP – NPI #1861513525
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

SAN MARTIN DEPORRES MEDICAL GROUP is a provider located in SANTA ANA, CA. NPPES has assigned the NPI number 1861513525 to SAN MARTIN DEPORRES MEDICAL GROUP on April 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 15 years ago on Mar 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN MARTIN DEPORRES MEDICAL GROUP below.

NPI Profile for
SAN MARTIN DEPORRES MEDICAL GROUP

NPI Number
1861513525
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN MARTIN DEPORRES MEDICAL GROUP
Primary location
1701 E MCFADDEN AVE
UNIT D
SANTA ANA, CA 92705-4647
Phone: (714) 953-6430 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACOB FLORES
OWNER
Phone: (714) 953-6430
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
CA A60865
207Q00000X
- Family Medicine
CA W11619

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.