Saint Mary Sonogram PC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SAINT MARY SONOGRAM PC

Practice address

83316 Beaver Creek CT
Indio, CA 92203-2830

Phone

(714) 394-1741

Fax

(442) 300-2233

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amin Abed Nagiub Markos, MEDICAL SONOGRAPHERNPI 1609582378

Title

President

Phone

(714) 394-1741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Amin Abed Nagiub Markos, ARDMS

  • Sonography Specialist/Technologist Cardiovascular
  • Indio, CA
  • NPI 1609582378
  NPD Authorized official
• Mark S Girguis, MD

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
  • NPI 1477591154
  NPD
• Ambreen Mohamed, M.D.

  • Cardiovascular Disease Physician
  • Independence, MO
  • NPI 1437443637
  NPD

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1144858184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83316 BEAVER CREEK CT",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922032830",
            "telephone_number": "714-394-1741",
            "fax_number": "442-300-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83316 BEAVER CREEK CT",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922032830",
            "telephone_number": "714-394-1741",
            "fax_number": "442-300-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY SONOGRAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "MARKOS",
        "authorized_official_first_name": "AMIN",
        "authorized_official_middle_name": "ABED NAGIUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-394-1741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MEDICAL SONOGRAPHER"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sac Health System
• Cedric A Saekan
• Talley Saekan
• Talafulu Sagale
• Sahawneh Dental Corporation (Bright Now Dental - Indio)
• Marian Ragaie Aziz Salama
• Abigail M Salas
• Kevin Giovanni Salas
• Adriana Salazar Flores, LMFT
• Jessica Ann Salcedo

• Mobile Radiology Clinic/Center in Indio, CA
• Providers in Indio, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.