DESERT PHYSICIANS MEDICAL GROUP HEALTH (NPI# 1134742703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134742703 |
| Entity Type | Organization |
| Organization Name | DESERT PHYSICIANS MEDICAL GROUP HEALTH |
| Practice Address |
1150 N Indian Canyon Dr Palm Springs CA 92262-4872 |
| Mailing Address |
555 E Tachevah Dr Ste 2e204 Palm Springs CA 92262-5737 |
| Practice Telephone | 7605617334 |
| Mailing Telephone | 7605617334 |
| Mailing Fax Number | 7603078172 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | TAE KIM (CEO) |
| Authorized Official Telephone | 7605617334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DPMG Health | Other Name - Individual/Organization |
| Street Address |
1150 N INDIAN CANYON DR |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567366 | Joline H Abrahams | Pathology | 1150 N Indian Canyon Dr, Dept of Pathology, Palm Springs, CA 92262-4872 | 2005-09-08 |
| 1548860687 | Claudimar Hernandez Brenner | Nurse Practitioner | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-10-28 |
| 1700402005 | Joel T Comer | Nurse Anesthetist, Certified Registered | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-23 |
| 1619592235 | Anh The Luong | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-09 |
| 1124643960 | Tyler Andrew Peterson | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-08 |
| 1114549003 | Pragati Hitesh Mamtora | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-13 |
| 1295357275 | Kathleen Fleming | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-12 |
| 1154943330 | Ulysses Rivero Garcia | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-11 |
| 1821618778 | Nina Nhu-y Duong Nguyen | Nurse Anesthetist, Certified Registered | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-04-21 |
| 1174143218 | Jessica Rose Vittorelli | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312856 | Quality Care & Health Solutions | Family Medicine | 2135 S Congress Ave Ste 4b, Palm Springs, FL 33406-7611 | 2020-06-25 |
| 1518507599 | Pure Naturopathic Health, Inc | Family Medicine | 552 S Paseo Dorotea Ste 5, Palm Springs, CA 92264-1437 | 2020-01-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1962066951 | Ctmd Medical Center Pa | Family Medicine | 2328 S Congress Ave # Unite1-h, Palm Springs, FL 33406-7618 | 2019-04-25 |
| 1265998348 | Charles Gonzales Md Inc | Family Medicine | 700 E Tahquitz Canyon Way Ste 5, Palm Springs, CA 92262-6765 | 2019-02-14 |
| 1144683913 | Shaudee Parvinjah | Family Medicine | 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2016-03-30 |
| 1174900211 | Kenneth Tembei Acha | Family Medicine | 1100 N Palm Canyon Dr Ste 203, Palm Springs, CA 92262-4426 | 2015-04-28 |
| 1154733632 | Castillo & Torres Md Pa | Family Medicine | 2328 S Congress Ave, Suite 1e, Palm Springs, FL 33406-7618 | 2014-06-02 |
| 1841568425 | Scott P Thomas | Family Medicine | 151 S Sunrise Way Ste 300, Palm Springs, CA 92262 | 2011-12-09 |
| 1508151127 | James Yc Tang | Family Medicine | 1150 N Indian Canyon Dr., Palm Springs, CA 92262 | 2011-06-11 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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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.