NPIMap

Organization Active NPI

One Stop Mulit Specialty Medical Group, Inc,

  • Non-Pharmacy Dispensing Site
  • Indio, CA
National Provider Identifier
1346569167
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,
Practice address
81557 Doctor Carreon Blvd Ste B5
Indio, CA 92201-5562
Phone
(909) 483-3530
NPI assigned
May 18, 2010
Organization subpart
Yes
Parent organization
ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Eduardo Anguizola, M.D.
Title
Medical Director
Phone
(909) 483-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

81557 Doctor Carreon Blvd Ste B5
Indio, CA 92201-5562

Mailing address

2980 N Beverly Glen Cir Ste 301
Los Angeles, CA 90077-1735
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
One Stop Mulit Specialty Medical Group Inc3 organizations share this tax ID, including this one
Part of
One Stop Mulit Specialty Medical Group Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1346569167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771735",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DOCTOR CARREON BLVD STE B5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015562",
            "telephone_number": "909-483-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE STOP MULIT SPECIALTY MEDICAL GROUP, INC,",
        "enumeration_date": "2010-05-18",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.