Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

San Martin De Porres Medical Clinic of South Gate, Inc

Organization General Practice Physician · NPI 1134298318

San Martin De Porres Medical Clinic of South Gate, Inc provides General Practice Physician services in South Gate, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10001 California Ave
South Gate, CA 90280-6005 Not confirmed with CMS for 12 years — call before visiting
Phone: (323) 564-4408
Fax: (323) 564-9641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1134298318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ana Consiglieri — Supervisor · (323) 564-4408
NPI enumeratedNovember 6, 2006
Last updated in NPPESOctober 6, 2014
Mailing address10001 California Ave, South Gate, CA 90280-6005

Other providers in South Gate