NPIMap

Organization Active NPI

Seven Star Medical Group Inc.

  • Urgent Care Clinic/Center
  • Hemet, CA
National Provider Identifier
1982207064
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SEVEN STAR MEDICAL GROUP INC.
Practice address
1525 W Florida Ave
Hemet, CA 92543-3825
Phone
(951) 929-6777
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Sophie Cota, MSHA
Title
Operations Manager
Phone
(951) 658-8390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1525 W Florida Ave
Hemet, CA 92543-3825

Mailing address

41889 Florida Ave
Hemet, CA 92544-5042
Phone (951) 652-8700

Other names 1

  • Seven Star Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401001919 CA Part B Supplier - Clinic/Group Practice 4789091026 Receives reassigned benefits from 27 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hemet, CA; Menifee, CA; Anaheim, CA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0573633Seven Star Medical Group Inc1525 W Florida Avenue Ste C, Hemet, CA 92543Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Seven Star Medical Group Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1525 W Florida Ave
Hemet, CA 92543
Phone (951) 929-6777

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1982207064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41889 FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445042",
            "telephone_number": "951-652-8700",
            "fax_number": "951-658-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433825",
            "telephone_number": "951-929-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVEN STAR MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "951-658-8390",
        "authorized_official_credential": "MSHA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seven Star Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seven Star Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.