OrganizationActive
San Manuel Medical Clinic,inc
NPI 1831456482 · Specialist · Walnut Park, CA
Provider details
- NPI number
- 1831456482
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Elia Webb, Office Manager(323) 585-8881
Specialties & taxonomies
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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) 585-8881
Street-level locationGet directions
Mailing address
7400 Pacific Blvd Ste a
Walnut Park, CA 90255-5739
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2012-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.