Merit Healthcare Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C55616 Issued in CA

Legal business name

MERIT HEALTHCARE INC.

Practice address

777 E Tahquitz Canyon Way
200-093
Palm Springs, CA 92262-6784

Phone

(760) 242-6561

Fax

(760) 242-1354

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Matthew S Kozloff, MD

Title

President

Phone

(760) 242-6561

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1851726228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E TAHQUITZ CANYON WAY",
            "address_2": "200-093",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626784",
            "telephone_number": "760-242-6561",
            "fax_number": "760-242-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E TAHQUITZ CANYON WAY",
            "address_2": "200-093",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626784",
            "telephone_number": "760-242-6561",
            "fax_number": "760-242-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "KOZLOFF",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-6561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C55616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.