Organization Active NPI

Omni Medical Group, Inc.

  • Internal Medicine Physician
  • Yucca Valley, CA
National Provider Identifier
1093885980
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OMNI MEDICAL GROUP, INC.
Practice address
7281 Dumosa Ave Ste 2
Yucca Valley, CA 92284-3781
Phone
(760) 365-2722
Fax
(760) 365-5099
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Narasimha P Rao, M.D.
Title
Owner
Phone
(760) 778-7147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X CA Primary

Addresses

Primary practice location

7281 Dumosa Ave Ste 2
Yucca Valley, CA 92284-3781

Mailing address

1180 N Indian Canyon Dr Ste E319
Palm Springs, CA 92262-4809
Phone (760) 778-7147

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1093885980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E319",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624809",
            "telephone_number": "760-778-7147",
            "fax_number": "760-416-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7281 DUMOSA AVE STE 2",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843781",
            "telephone_number": "760-365-2722",
            "fax_number": "760-365-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "NARASIMHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-778-7147",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.