Organization Active NPI

PS Medical Inc.

  • Internal Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1386104859
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PS MEDICAL INC.
Practice address
California Nursing & Rehabilitation Center
2299 N Indian Canyon Dr
Palm Springs, CA 92262-3023
Phone
(760) 325-2937
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Patricia Sotolongo, DONPI 1093176075
Title
President
Phone
(702) 235-3936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

California Nursing & Rehabilitation Center
2299 N Indian Canyon Dr
Palm Springs, CA 92262-3023

Mailing address

49838 Crescent Psge
Palm Desert, CA 92211-2212
Phone (909) 883-2394

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829000813 CA Part B Supplier - Clinic/Group Practice 3577891555 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1386104859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49838 CRESCENT PSGE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112212",
            "telephone_number": "909-883-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALIFORNIA NURSING & REHABILITATION CENTER",
            "address_2": "2299 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623023",
            "telephone_number": "760-325-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SOTOLONGO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-235-3936",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.