OrganizationActive
San Manuel Medical Clinic Inc.
NPI 1194071225 · Specialist · Walnut Park, CA
San Manuel Medical Clinic Inc. is a Specialist organization in Walnut Park, CA (NPI 1194071225).
Provider details
- NPI number
- 1194071225
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anjana Sura, Director(323) 584-8881
- License
- A30390 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7400 Pacific Blvd
Ste a
Walnut Park, CA 90255-5739
Phone: (323) 584-8881
Fax: (323) 584-8882
Street-level locationGet directions
Mailing address
7400 Pacific Blvd
Walnut Park, CA 90255-5739
Registry dates
- Enumerated
- 2012-07-26
- Last updated
- 2012-07-26
Frequently asked questions
- What is San Manuel Medical Clinic Inc.'s NPI number?
- San Manuel Medical Clinic Inc.'s National Provider Identifier (NPI) is 1194071225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Manuel Medical Clinic Inc.?
- San Manuel Medical Clinic Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is San Manuel Medical Clinic Inc. located?
- San Manuel Medical Clinic Inc.'s practice location on file with NPPES is 7400 Pacific Blvd, Walnut Park, CA 90255-5739.
- What is San Manuel Medical Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Manuel Medical Clinic Inc. is (323) 584-8881.
- Who is the authorized official for San Manuel Medical Clinic Inc.?
- The authorized official listed on San Manuel Medical Clinic Inc.'s NPPES record is Anjana Sura, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Manuel Medical Clinic Inc.'s NPI active?
- Yes — San Manuel Medical Clinic Inc.'s NPI (1194071225) is active in the NPPES registry as of the last update on 2012-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.