Organization Active NPI

Seven Star Medical Group Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hemet, CA
National Provider Identifier
1073116166
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
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

Updated by the provider on Oct 18, 2024

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401001919 CA Part B Supplier - Clinic/Group Practice 4789091026 Receives reassigned benefits from 27 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hemet, CA; Menifee, CA; Anaheim, CA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.