Organization Active NPI

David H Stoltzman MD a Medical Corporation

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1225095375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID H STOLTZMAN MD A MEDICAL CORPORATION
Practice address
39000 Bob Hope Dr
Ste 409 Wright BLDG
Rancho Mirage, CA 92270
Phone
(760) 346-0663
Fax
(760) 346-3523
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David H Stoltzman, MD
Title
President
Phone
(760) 346-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Ste 409 Wright BLDG
Rancho Mirage, CA 92270

Mailing address

39000 Bob Hope Dr
Ste 409 Wright BLDG
Rancho Mirage, CA 92270
Phone (760) 346-0663

Other identifiers 1

IdentifierTypeStateIssuer
00G271460MedicaidCA

National Provider Directory

National Provider Directory

Locations

39000 Bob Hope Dr
Ste 409
Rancho Mirage, CA 92270
Phone (760) 340-3353

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225095375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "STE 409 WRIGHT BLDG",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-346-0663",
            "fax_number": "760-346-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "STE 409 WRIGHT BLDG",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-346-0663",
            "fax_number": "760-346-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H STOLTZMAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOLTZMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-346-0663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G271460",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.