Organization Active NPI

Stellar Medical Management, Inc.

  • Internal Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1194900324
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STELLAR MEDICAL MANAGEMENT, INC.
Practice address
39700 Bob Hope Dr
Suite 110
Rancho Mirage, CA 92270-7103
Phone
(760) 340-5545
Fax
(760) 346-6208
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Inez E Stellar
Title
Owner/Administrator
Phone
(760) 340-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

39700 Bob Hope Dr
Suite 110
Rancho Mirage, CA 92270-7103

Mailing address

39700 Bob Hope Dr
Suite 110
Rancho Mirage, CA 92270-7103
Phone (760) 340-5545

National Provider Directory

National Provider Directory

Locations

39700 Bob Hope Dr
Ste 110
Rancho Mirage, CA 92270
Phone (760) 340-5545

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1194900324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 110",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707103",
            "telephone_number": "760-340-5545",
            "fax_number": "760-346-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 110",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707103",
            "telephone_number": "760-340-5545",
            "fax_number": "760-346-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "STELLAR",
        "authorized_official_first_name": "INEZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "760-340-5545"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.