NPIMap

Organization Active NPI

Csi Physican & Medical Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Desert, CA
National Provider Identifier
1124411400
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A61113 Issued in CA
Legal business name
CSI PHYSICAN & MEDICAL SERVICES, LLC
Practice address
73710 Alessandro Dr.
BLD CT A1
Palm Desert, CA 92260
Phone
(760) 837-0364
Fax
(760) 837-3843
NPI assigned
Mar 11, 2015
Organization subpart
Yes
Parent organization
ZAK MEDICAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Tamara Sullivan
Title
Manager
Phone
(760) 837-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A61113 CA Primary

Addresses

Primary practice location

73710 Alessandro Dr.
BLD CT A1
Palm Desert, CA 92260

Mailing address

P.O. Box 533
Palm Desert, CA 92260
Phone (760) 837-0364

National Provider Directory

National Provider Directory
Tax ID family
Csi Physican Medical Services LLC2 organizations share this tax ID, including this one
Part of
Zak Medical Corp

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1124411400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 533",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-837-0364",
            "fax_number": "760-837-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73710 ALESSANDRO DR.",
            "address_2": "BLD CT A1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-837-0364",
            "fax_number": "760-837-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI PHYSICAN & MEDICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZAK MEDICAL CORP",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-837-0364"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A61113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.