Medicus, a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G42621 Issued in CA

Legal business name

MEDICUS, A MEDICAL CORPORATION

Practice address

34131 Date Palm Dr
Cathedral City, CA 92234-6812

Phone

(760) 770-4600

Fax

(760) 321-1625

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Stevens Robbins, M.D.

Title

Medical Director

Phone

(760) 770-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cathedral CIty Family Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damiano De Sano Iocovozzi

  • Family Nurse Practitioner
  • Cathedral City, CA
  • NPI 1255541256
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881654994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34131 DATE PALM DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346812",
            "telephone_number": "760-770-4600",
            "fax_number": "760-321-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34131 DATE PALM DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346812",
            "telephone_number": "760-770-4600",
            "fax_number": "760-321-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-770-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G42621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0062120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cathedral CIty Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tania Jane McCormick, MA
• James William McDonnell, RN
• Emelinda McGinnis, LCSW
• Philip John McMichael II
• Medicine Wombmen
• Leslie Medina
• April Mejia-Tran, RADT
• Ana Mendiola
• Jennifer Mendoza, LMFT
• Gregory James Meredith, MD

• Primary Care Clinic/Center in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.