NPIMap

Organization Active NPI

International Medical Technology, Inc

Doing business as Ostomy Clinic of Inland Empire

  • Health Maintenance Organization
  • Temecula, CA
National Provider Identifier
1942607080
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
C50309 Issued in CA
Legal business name
INTERNATIONAL MEDICAL TECHNOLOGY, INC
Doing business as
Ostomy Clinic of Inland Empire
Practice address
31717 Temecula Pkwy
Temecula, CA 92592-5869
Phone
(951) 302-1888
Fax
(951) 302-9888
NPI assigned
Dec 3, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Fouad A Salama, M.DNPI 1972991776
Title
Owner/President
Phone
(951) 302-1888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X C50309 CA Primary

Addresses

Primary practice location

31717 Temecula Pkwy
Temecula, CA 92592-5869

Mailing address

31717 Temecula Pkwy
Temecula, CA 92592-5869
Phone (951) 302-1888

Other names 1

  • Ostomy Clinic of Inland Empire Doing business as

National Provider Directory

National Provider Directory

Locations

31717 Temecula Pkwy
Temecula, CA 92592
Phone (951) 210-7368

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": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942607080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31717 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925869",
            "telephone_number": "951-302-1888",
            "fax_number": "951-302-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31717 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925869",
            "telephone_number": "951-302-1888",
            "fax_number": "951-302-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL TECHNOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-302-1888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "C50309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ostomy Clinic of Inland Empire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.