NPIMap

Organization Active NPI

Robert G Czako, M.D., Inc.

Doing business as Stat Urgent Care Medical Group

  • Internal Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1790901098
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A038911 Issued in CA
Legal business name
ROBERT G CZAKO, M.D., INC.
Doing business as
Stat Urgent Care Medical Group
Practice address
73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2871
Phone
(760) 837-0321
Fax
(760) 837-9114
NPI assigned
Apr 17, 2007
Last updated
May 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Carla Czako, RN
Title
Practice Manager
Phone
(760) 837-0321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Internal Medicine Physician 207R00000X A038911 CA Primary

Addresses

Primary practice location

73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2871

Mailing address

PO Box 1029
Palm Desert, CA 92261-1029
Phone (760) 837-0321

Other names 1

  • Stat Urgent Care Medical Group Doing business as

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1790901098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922611029",
            "telephone_number": "760-837-0321",
            "fax_number": "760-837-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-837-0321",
            "fax_number": "760-837-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G CZAKO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "CZAKO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "760-837-0321",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A038911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat Urgent Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.