FOUNTAIN VALLEY GROUP SERVICES PC (NPI# 1013310309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013310309 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN VALLEY GROUP SERVICES PC |
| Practice Address |
47111 Monroe St Indio CA 92201-6739 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 7603476191 |
| Mailing Telephone | 7708745400 |
| Mailing Fax Number | 7708745483 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
47111 MONROE ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699716282 | Charles Kent Anderson | Anesthesiology | 47111 Monroe St, Indio, CA 92201-6739 | 2006-06-08 |
| 1487291571 | Christophe La | Pharmacist | 47111 Monroe St, Indio, CA 92201-6739 | 2019-12-08 |
| 1053962050 | Drew Zimmer | Emergency Medicine | 47111 Monroe St, Indio, CA 92201-6739 | 2019-09-23 |
| 1235791674 | John-john Loreto | Nurse Practitioner | 47111 Monroe St, Indio, CA 92201-6739 | 2019-07-06 |
| 1902465453 | Aulora Elizabeth Hammers | Nurse Practitioner | 47111 Monroe St, Indio, CA 92201-6739 | 2019-06-09 |
| 1538727607 | Jana Spedaliere | Nurse Practitioner | 47111 Monroe St, Indio, CA 92201-6799 | 2019-06-03 |
| 1043774144 | Stefan Meers Estrada | Physician Assistant | 47111 Monroe St, Indio, CA 92201-6739 | 2019-01-23 |
| 1508378126 | Tad Woraratanadharm | Pharmacist | 47111 Monroe St, Indio, CA 92201-6739 | 2017-11-05 |
| 1487177663 | Carmen Edna Cheung | Pharmacist | 47111 Monroe St, Indio, CA 92201-6739 | 2017-07-19 |
| 1114373537 | Laleh Ghaffarian | Emergency Medicine | 47111 Monroe St, Indio, CA 92201-6739 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
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| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.