Active NPI
David H Stoltzman MD a Medical Corporation
- Family Medicine Physician
- Rancho Mirage, CA
National Provider Identifier
1225095375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G271460 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.