NPIMap

Organization Active NPI

Seven Star Medical Group Inc.

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1346843422
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SEVEN STAR MEDICAL GROUP INC.
Practice address
2390 E Florida Ave Ste 104
Hemet, CA 92544-4711
Phone
(951) 414-4011
Fax
(951) 414-4012
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Sophie Cota, MSHA
Title
Operations Manager
Phone
(951) 929-8149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2390 E Florida Ave Ste 104
Hemet, CA 92544-4711

Mailing address

41889 Florida Ave
Hemet, CA 92544-5042
Phone (951) 652-8700

Other practice location 1

29826 Haun Rd Ste 200
Menifee, CA 92586-6547
Phone (951) 414-4020

Other practice location 2

1515 W Florida Ave
Hemet, CA 92543-3817
Phone (951) 414-4016

Other names 1

  • Seven Star Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401001919 CA Part B Supplier - Clinic/Group Practice 4789091026 Receives reassigned benefits from 27 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hemet, CA; Menifee, CA; Anaheim, CA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Seven Star Medical Group Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

28400 McCall Blvd
Ste B10
Menifee, CA 92585
Phone (951) 414-2020

28400 McCall Blvd
Ste Bio
Menifee, CA 92585

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1346843422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41889 FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445042",
            "telephone_number": "951-652-8700",
            "fax_number": "951-414-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 E FLORIDA AVE STE 104",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444711",
            "telephone_number": "951-414-4011",
            "fax_number": "951-414-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866547",
            "country_code": "US",
            "telephone_number": "951-414-4020",
            "fax_number": "951-414-4021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 W Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925433817",
            "country_code": "US",
            "telephone_number": "951-414-4016",
            "fax_number": "951-414-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEVEN STAR MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "951-929-8149",
        "authorized_official_credential": "MSHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seven Star Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seven Star Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.