Organization Active NPI

Diamond Med Spa

  • Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1902696388
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DIAMOND MED SPA
Practice address
960 W 41St St Ste 214
Miami Beach, FL 33140-3349
Phone
(305) 482-1415
Fax
(305) 905-8174
NPI assigned
May 8, 2025
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Matthew Pourani, PA-CNPI 1811268469
Title
Associate
Phone
(305) 482-1415

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

960 W 41St St Ste 214
Miami Beach, FL 33140-3349

Mailing address

960 W 41St St Ste 214
Miami Beach, FL 33140-3349
Phone (305) 482-1415

National Provider Directory

National Provider Directory

Locations

960 W 41st St
Ste 214
Miami Beach, FL 33140
Phone (305) 482-1415

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": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1902696388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST STE 214",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403349",
            "telephone_number": "305-482-1415",
            "fax_number": "305-905-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST STE 214",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403349",
            "telephone_number": "305-482-1415",
            "fax_number": "305-905-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "POURANI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "305-482-1415",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.