Organization Active NPI

Santa Rosa del Valle Medical Group

  • Family Medicine Physician
  • Coachella, CA
National Provider Identifier
1508051665
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANTA ROSA DEL VALLE MEDICAL GROUP
Practice address
1293 6TH St
Coachella, CA 92236-1707
Phone
(760) 391-5151
Fax
(760) 391-5159
NPI assigned
Sep 12, 2007
Organization subpart
Yes
Parent organization
INDIO EMERGENCY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Dr. Frank A Curry, MDNPI 1750317616
Title
President/Ceo
Phone
(760) 775-4181

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1293 6TH St
Coachella, CA 92236-1707

Mailing address

81893 Dr Carreon Blvd
Suite #4
Indio, CA 92201-5592
Phone (760) 775-4181

Other identifiers 1

IdentifierTypeStateIssuer
BCP53882FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Indio Emergency Medical GRP5 organizations share this tax ID, including this one
Part of
Indio Emergency Medical GRP

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1508051665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81893 DR CARREON BLVD",
            "address_2": "SUITE #4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015592",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 6TH ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361707",
            "telephone_number": "760-391-5151",
            "fax_number": "760-391-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA DEL VALLE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIO EMERGENCY MEDICAL GROUP",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-775-4181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP53882F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.