Active NPI
Diamond Med Spa
- Clinic/Center
- Miami Beach, FL
National Provider Identifier
1902696388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Pourani, PA-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Surgical Physician Assistant
- Miami, FL
- NPI 1811268469
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.