Desert Angels Medical Clinic PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DESERT ANGELS MEDICAL CLINIC PLC

Practice address

3003 Highway 95
Suite 101
Bullhead City, AZ 86442-7802

Phone

(928) 758-0202

Fax

(928) 758-2656

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Maria D Salamatin, MDNPI 1013989409

Title

Owner

Phone

(928) 758-0202

Specialties & licenses 1

Addresses

Other names 1

• Desert Angels Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGCCDA

Practitioners 3

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

• Maria D Salamatin, MD

  • Internal Medicine Physician
  • Bullhead City, AZ
  • NPI 1013989409
  Medicare reassignment NPD Authorized official
• Susenie Delva Pierre, NP

  • Family Nurse Practitioner
  • Towson, MD
  • NPI 1750863114

  AZ

  Medicare reassignment NPD
• Candace Nysted, PA-C

  • Physician Assistant
  • Medford, OR
  • NPI 1164996922

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1912979303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95",
            "address_2": "SUITE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427802",
            "telephone_number": "928-758-0202",
            "fax_number": "928-758-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95",
            "address_2": "SUITE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427802",
            "telephone_number": "928-758-0202",
            "fax_number": "928-758-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ANGELS MEDICAL CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "SALAMATIN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-758-0202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Angels Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deeflat LLC
• Deeflat LLC
• Branden Angelo Demarco, EDS
• Matthew James Dembik
• Derek Price Chiropractic PLLC
• Desert Bloom Counseling, PLLC
• Desert Hi Tech Durable Medical LLC
• Desert Oasis Medical Center, PLLC
• Desert Palms Medical Associates Inc
• Desert Pulmonology, LTD.

• Medical Specialty Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.