Organization Active NPI

Stat Medical Group

  • Urgent Care Clinic/Center
  • Palm Desert, CA
National Provider Identifier
1942887724
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STAT MEDICAL GROUP
Practice address
73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2888
Phone
(760) 837-0321
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Homayoun Siman, MD
Title
President
Phone
(760) 837-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2888

Mailing address

73211 Fred Waring Dr Ste 101
Palm Desert, CA 92260-2888
Phone (760) 837-0321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1942887724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602888",
            "telephone_number": "760-837-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602888",
            "telephone_number": "760-837-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SIMAN",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-837-0321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.