FOOT ANKLE ASSOCIATED OF THE DESERT (NPI# 1093795320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093795320 |
| Entity Type | Organization |
| Organization Name | FOOT ANKLE ASSOCIATED OF THE DESERT |
| Other Organization Name | FOOT ANKLE ASSOCIATES OF THE DESERT |
| Practice Address |
82013 Dr Carreon Blvd Indio CA 92201-5832 |
| Practice Telephone | 7608630048 |
| Mailing Telephone | 7608630048 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN EDWARD EBAUGH (PODIATRY) |
| Authorized Official Telephone | 7608630070 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| X | 314000000X | Skilled Nursing Facility | ========= | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| FOOT ANKLE ASSOCIATES OF THE DESERT | Former Legal Business Name - Organization |
| Street Address |
82013 DR CARREON BLVD |
| City | INDIO |
| State | CA |
| Zip Code | 92201-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104366913 | Dulyawat Imraporn | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2017-02-27 |
| 1790145217 | Matthew Wilson | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2016-02-25 |
| 1578923009 | Cristina Valenzuela | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2016-02-25 |
| 1972998763 | Thomas Crosby | Radiologic Technologist | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2015-03-30 |
| 1326438946 | Wesley William Tolles | Physician Assistant | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2015-02-03 |
| 1922416023 | Zekhariah Inyasio Idro | Physician Assistant | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2014-08-01 |
| 1649604257 | Darcy M Hlavin | Physical Therapist | 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201-4832 | 2013-08-30 |
| 1902245343 | 24 Hour Urgent Care of The Desert | Clinic/Center | 82013 Dr Carreon Blvd, Suite #g, Indio, CA 92201-4832 | 2013-06-19 |
| 1700229101 | Catherine C Kopko | Physical Therapist | 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201-4832 | 2013-04-16 |
| 1811254741 | Randy Chan | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2012-04-17 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090591 | Luyen Pham Dpm Inc | Podiatrist | 81713 Us Highway 111, Indio, CA 92201-0721 | 2017-08-23 |
| 1386768737 | Yunhan Zhang | Podiatrist | 46900 Monroe St, Ste E, Indio, CA 92201-4827 | 2007-03-19 |
| 1649487992 | Foot and Ankle Associates of The Desert | Podiatrist | 81709 Dr Carreon Blvd, Ste D3, Indio, CA 92201-5509 | 2007-05-17 |
| 1194760751 | John E Ebaugh | Podiatrist | 81709 Dr Carreon Blvd, Suite D3, Indio, CA 92201-5509 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FOOT ANKLE ASSOCIATED OF THE DESERT.
| 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.