OrganizationActive
Clinica Santa Marta Medical Group
NPI 1417380254 · Non-Pharmacy Dispensing Site · Los Angeles, CA
Clinica Santa Marta Medical Group is a Non-Pharmacy Dispensing Site organization in Los Angeles, CA (NPI 1417380254).
Provider details
- NPI number
- 1417380254
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- PA19472 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3742 Whittier Blvd
Los Angeles, CA 90023-1704
Phone: (323) 780-4100
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Clinica Santa Marta
Registry dates
- Enumerated
- 2013-08-15
- Last updated
- 2013-08-15
Frequently asked questions
- What is Clinica Santa Marta Medical Group's NPI number?
- Clinica Santa Marta Medical Group's National Provider Identifier (NPI) is 1417380254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinica Santa Marta Medical Group?
- Clinica Santa Marta Medical Group is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Clinica Santa Marta Medical Group located?
- Clinica Santa Marta Medical Group's practice location on file with NPPES is 3742 Whittier Blvd, Los Angeles, CA 90023-1704.
- What is Clinica Santa Marta Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Clinica Santa Marta Medical Group is (323) 780-4100.
- Who is the authorized official for Clinica Santa Marta Medical Group?
- The authorized official listed on Clinica Santa Marta Medical Group's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinica Santa Marta Medical Group's NPI active?
- Yes — Clinica Santa Marta Medical Group's NPI (1417380254) is active in the NPPES registry as of the last update on 2013-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.