MEDICARE: SANTA MARYA FAMILY MEDICINE CLINIC,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1245620442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA MARYA FAMILY MEDICINE CLINIC,INC

Provider Business Mailing Address
First Line	:	3400 W BALL RD STE 202
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3735
Country	:	US
Telephone Number	:	714-236-9663
Fax Number	:	714-644-8212

Provider Business Practice Location Address
First Line	:	3400 W BALL RD
Second Line	:	SUITE 202
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3735
Country	:	US
Telephone Number	:	714-236-9663
Fax Number	:

Authorized Official
Title or Position	:	MD. PRESIDENT
Name	:	DR. CATHERINE MARKS
Credential	:	MD
Telephone Number	:	714-236-9663

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	06/18/2026

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