NPIMap

Organization Active NPI

Seven Star Medical Group Inc.

Doing business as Seven Star OB/GYN

  • Obstetrics & Gynecology Physician
  • Hemet, CA
National Provider Identifier
1093318172
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SEVEN STAR MEDICAL GROUP INC.
Doing business as
Seven Star OB/GYN
Practice address
1225 E Latham Ave Ste a
Hemet, CA 92543-4423
Phone
(951) 929-8400
Fax
(951) 929-8411
NPI assigned
Nov 19, 2020
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1225 E Latham Ave Ste a
Hemet, CA 92543-4423

Mailing address

41889 Florida Ave
Hemet, CA 92544-5042
Phone (951) 652-8700

Other practice location 1

29826 Haun Rd Ste 200
Menifee, CA 92586-6547
Phone (951) 414-4014

Other practice location 2

947 S Anaheim Blvd Ste 240
Anaheim, CA 92805-5584
Phone (714) 635-4424

Other names 1

  • Seven Star OB/GYN 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
Tax ID family
Seven Star Medical Group Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2390 E Florida Ave
Ste 104
Hemet, CA 92544
Phone (951) 414-4011

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1733702400000",
    "number": "1093318172",
    "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": "951-652-8700",
            "fax_number": "951-414-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E LATHAM AVE STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434423",
            "telephone_number": "951-929-8400",
            "fax_number": "951-929-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866547",
            "country_code": "US",
            "telephone_number": "951-414-4014",
            "fax_number": "951-414-4015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "947 S Anaheim Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055584",
            "country_code": "US",
            "telephone_number": "714-635-4424",
            "fax_number": "877-325-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEVEN STAR MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "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": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seven Star OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seven Star OB/GYN",
            "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 Dec 9, 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.