MARK MANNING. HOLT, MD, A PROFESSIONAL CORP (NPI# 1154644334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154644334 |
| Entity Type | Organization |
| Organization Name | MARK MANNING. HOLT, MD, A PROFESSIONAL CORP |
| Practice Address |
72650 Fred Waring Dr Ste 204 Palm Desert CA 92260 |
| Mailing Address |
72650 Fred Waring Dr Ste 204 Palm Desert CA 92260-5009 |
| Practice Telephone | 7603243000 |
| Mailing Telephone | 7603243000 |
| Mailing Fax Number | 7603243007 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | DR. MARK MANNING HOLT (PRESIDENT OWNER) |
| Authorized Official Telephone | 7603243000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C53118 | CA | Other Service Providers |
| Street Address |
72650 FRED WARING DR STE 204 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497145114 | Lisa O'brien | Specialist | 73111 San Nicholas Ave, Palm Desert, CA 92260-2850 | 2015-02-02 |
| 1821368267 | Brian D Robins | Specialist | 78828 Sunrise Canyon Ave, Palm Desert, CA 92211-2610 | 2012-01-03 |
| 1215227053 | Joan L Warren, Medical Corporation | Specialist | 74361 Highway 111 Ste 5, Palm Desert, CA 92260-4125 | 2011-04-13 |
| 1336376052 | Thomas F Lyons Jr. | Specialist | 307 San Vicente Cir, Palm Desert, CA 92260-2152 | 2009-06-20 |
| 1972774289 | Albert Francis Boykin | Specialist | 73301 Highway 111, 2nd Floor, Palm Desert, CA 92260-3924 | 2008-03-13 |
| 1316125131 | William M Kelly M.d., Inc | Specialist | 44489 Town Center Way, Suite D Box 540, Palm Desert, CA 92260-2723 | 2008-02-04 |
| 1922284017 | Beth Aune | Specialist | 77564 Country Club Dr., # 340, Palm Desert, CA 92211 | 2008-01-18 |
| 1922292994 | Weissman & Stone Med Grp, Inc., A Professinal Corporation | Specialist | 39009 Palace Dr, Palm Desert, CA 92211-7155 | 2007-08-31 |
| 1437370046 | Craig James Ball | Specialist | 73710 Alessandro Dr., Palm Desert, CA 92260 | 2007-05-01 |
| 1558371484 | Palm Desert Pediatrics Inc | Specialist | 73950 Alessandro Dr Ste 5, Palm Desert, CA 92260-3637 | 2006-08-09 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on MARK MANNING. HOLT, MD, A PROFESSIONAL CORP.
| 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.