DESERT ORTHOPEDIC CENTER, A MEDICAL GROUP INC. (NPI# 1174739551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174739551 |
| Entity Type | Organization |
| Organization Name | DESERT ORTHOPEDIC CENTER, A MEDICAL GROUP INC. |
| Practice Address |
82013 Doctor Carreon Blvd Suite G Indio CA 92201-5832 |
| Mailing Address |
Po Box 1810 Rancho Mirage CA 92270-1059 |
| Practice Telephone | 7602622800 |
| Practice Fax Number | 7608372290 |
| Mailing Telephone | 7607661250 |
| Mailing Fax Number | 7608372290 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-10-16 |
| Authorized Official Name | PHIL WARD (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7605682684 |
| Authorized Official Credential | CAO |
| Is Organization Subpart | Y |
| Parent Organization Name | DESERT ORTHOPEDIC CENTER, A MEDICAL GROUP INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275749749 | Desert Orthopedic Center, A Medical Group Inc. | Durable Medical Equipment & Medical Supplies | 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA 92270-3221 | 2007-05-14 |
| 1003973389 | Desert Orthopedic Center, A Medical Group Inc. | Orthopaedic Surgery | 151 S Sunrise Way, Suite 500, Palm Springs, CA 92262-0118 | 2007-01-03 |
| Street Address |
82013 DOCTOR CARREON BLVD SUITE G |
| City | INDIO |
| State | CA |
| Zip Code | 92201-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114099199 | Michael H Dawson | Chiropractor | 82013 Doctor Carreon Blvd, Suite B, Indio, CA 92201-5832 | 2006-11-14 |
| 1497018584 | Manuel Tovar | Physician Assistant | 82013 Doctor Carreon Blvd, Suite M, Indio, CA 92201-4832 | 2012-06-22 |
| 1972644987 | Alice G Alatorre | Dentist | 82013 Doctor Carreon Blvd, Suite D, Indio, CA 92201-5832 | 2007-02-11 |
| 1154474989 | Ofelia Lopez Williams Certified Nurse Practitioner Inc | Nurse Practitioner | 82013 Doctor Carreon Blvd, Suite M, Indio, CA 92201-5832 | 2007-01-18 |
| 1124044896 | Clifford Omar Brown | Ophthalmology | 82013 Doctor Carreon Blvd, Suite H, Indio, CA 92201-5832 | 2006-07-14 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295265072 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 44100 Jefferson St Ste F, Indio, CA 92201-2715 | 2017-06-14 |
| 1861892754 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 82491 Avenue 42, Indio, CA 92203-9307 | 2014-08-27 |
| 1174785331 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 42150 Jackson St, #a, Indio, CA 92203-9736 | 2008-06-30 |
| 1164693859 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 82955 Avenue 48 Bldg B, Indio, CA 92201-6757 | 2008-03-20 |
| 1184800302 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 47985 Monroe Street, Bldg A, Indio, CA 92203-6752 | 2008-01-17 |
| 1801085535 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 82900 Avenue 42 Ste D, Indio, CA 92203-9658 | 2007-10-18 |
| 1841352861 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 80925 Us Highway 111, Indio, CA 92201-6524 | 2006-12-15 |
| 1841309275 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 82451 C Highway 111, Indio, CA 92201-5653 | 2006-08-30 |
| 1083657308 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 49980 Jefferson St, Indio, CA 92201-9720 | 2006-06-14 |
| 1033114806 | Amis Pharmacy Corporation | Durable Medical Equipment & Medical Supplies | 82422 Miles Ave, Indio, CA 92201-4250 | 2005-06-16 |
| Find all providers in INDIO | ||||
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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.