Active NPI
Seven Star Medical Group Inc.
- Endocrinology, Diabetes & Metabolism Physician
- Hemet, CA
National Provider Identifier
1073116166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- SEVEN STAR MEDICAL GROUP INC.
- Practice address
- 1515 W Florida Ave
Hemet, CA 92543-3817 - Phone
- (951) 414-4007
- Fax
- (951) 414-4008
- NPI assigned
- Nov 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophie Cota, MSHA
- Title
- Operations Manager
- Phone
- (951) 929-8149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
1515 W Florida Ave
Hemet, CA 92543-3817
Mailing address
41889 Florida Ave
Hemet, CA 92544-5042
Phone (951) 414-4007
Other names 1
- Seven Star Endocrinology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Hemet, CA
- NPI 1063015154
O20210401001919
-
- Obstetrics & Gynecology Physician
- Hemet, CA
- NPI 1093318172
O20210401001919
-
- Orthopaedic Surgery Physician
- Hemet, CA
- NPI 1295338374
O20210401001919
National Provider Directory
National Provider DirectoryLocations
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Escondido, CA
- NPI 1144769886
-
- Endocrinology, Diabetes & Metabolism Physician
- Hemet, CA
- NPI 1386838696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1073116166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41889 FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925445042",
"telephone_number": "951-414-4007",
"fax_number": "951-414-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433817",
"telephone_number": "951-414-4007",
"fax_number": "951-414-4008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVEN STAR MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "COTA",
"authorized_official_first_name": "SOPHIE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "951-929-8149",
"authorized_official_credential": "MSHA"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seven Star Endocrinology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Seven Star Endocrinology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hemet, CA
- Seven Star Hospital Associates Inc.
- Seven Star Hospital Associates Inc.
- Seven Star Hospital Associates Inc.
- Seven Star Hospital Associates Inc.
- Seven Star Medical Group Inc.
- Seven Star Medical Group Inc.
- Seven Star Medical Group Inc.
- Seven Star Medical Group Inc.
- Seven Star Medical Group Inc.
- Seven Star Medical Group Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.