SQ1 Medical, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SQ1 MEDICAL, INC.

Practice address

165 N Luring Dr
Palm Springs, CA 92262-6829

Phone

(760) 286-9946

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John Kenneth Gerard, MDNPI 1114254000

Title

Owner

Phone

(760) 286-9946

Specialties & licenses 1

Addresses

Other names 1

• Square One Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Kenneth Gerard, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Palm Springs, CA
  • NPI 1114254000

  General Practice

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1326880980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N LURING DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626829",
            "telephone_number": "760-286-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N LURING DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626829",
            "telephone_number": "760-286-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQ1 MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-286-9946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Square One Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda A. Speed, BS,BM
• Jimmie Speed
• Springs Ambulance Service, Inc.
• Matthew A Springstead
• Dennis Eugene Spurgin, DC
• Sujatha Srikanth, M.D.
• Amortheep Srikureja, DDS
• Louis A Stabile, MD
• Edgar J Stanley, MD
• John Dee Stansell, M.D.

• General Practice Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.