Organization Active NPI

WS Chief Cornerstone Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1790167070
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
C50845 Issued in CA
Legal business name
WS CHIEF CORNERSTONE INC.
Doing business as
Premier Occupational Medicine Centers
Practice address
1080 N Indian Canyon Dr
Suite 206
Palm Springs, CA 92262-4869
Phone
(760) 864-1000
Fax
(760) 864-1093
NPI assigned
Jun 23, 2015
Organization subpart
Yes
Parent organization
WS CHIEF CORNERSTONE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Wayne Dion Starks, M.D.
Title
Ceo/President
Phone
(313) 492-4071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X C50845 CA Primary

Addresses

Primary practice location

1080 N Indian Canyon Dr
Suite 206
Palm Springs, CA 92262-4869

Mailing address

1080 N Indian Canyon Dr
Suite 206
Palm Springs, CA 92262-4869
Phone (760) 864-1000

Other names 1

  • Premier Occupational Medicine Centers Doing business as

National Provider Directory

National Provider Directory
Part of
WS Chief Cornerstone Inc

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1790167070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N INDIAN CANYON DR",
            "address_2": "SUITE 206",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624869",
            "telephone_number": "760-864-1000",
            "fax_number": "760-864-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N INDIAN CANYON DR",
            "address_2": "SUITE 206",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624869",
            "telephone_number": "760-864-1000",
            "fax_number": "760-864-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS CHIEF CORNERSTONE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WS CHIEF CORNERSTONE INC.",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "313-492-4071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "C50845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Occupational Medicine Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 2015; 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.