JFK MEMORIAL (NPI# 1295108728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295108728 |
| Entity Type | Organization |
| Organization Name | JFK MEMORIAL |
| Practice Address |
47111 Monroe St Indio CA 92201-6739 |
| Mailing Address |
Po Box 31001-2130 Pasadena CA 91110-2130 |
| Practice Telephone | 7607758120 |
| Practice Fax Number | 7607758424 |
| Mailing Telephone | 2134121973 |
| Mailing Fax Number | 2134121981 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | DR. JOHN HEYDT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205288818 | Mahalet Zewde Welde Semat | General Acute Care Hospital | 2447 Vallejo St Apt 5, San Francisco, CA 94123-4656 | 2016-07-07 |
| 1053789164 | Va Longbeach Medical Center | General Acute Care Hospital | 14118 Cordary Ave Apt 22, Hawthorne, CA 90250-8074 | 2015-09-04 |
| 1871884585 | Tulare Local Health Care District | General Acute Care Hospital | 16796 Avenue 168, Woodville, CA 93257-0000 | 2011-04-28 |
| 1841525532 | Stanley D Levine, Md A Professional Corporation | General Acute Care Hospital | 20760 Hyde Rd, Sonoma, CA 95476-9588 | 2009-10-13 |
| 1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
| 1164680617 | California Pacific Medical Center | General Acute Care Hospital | 550 Battery St Apt 1417, San Francisco, CA 94111-2328 | 2008-05-30 |
| 1649446014 | Edward Turberville Peter | General Acute Care Hospital | 13980 Valley View Dr, Red Bluff, CA 96080-9352 | 2008-05-05 |
| 1952402844 | Feather River Hospital | General Acute Care Hospital | 5730 Canyon View Dr., Paradise, CA 95969 | 2006-09-26 |
| 1558374132 | Byron P Sansom A Dental Corporation | General Acute Care Hospital | 452 Old Mammoth Rd., Suite L, Mammoth Lakes, CA 93546 | 2006-08-14 |
| 1750321378 | John Michael Pabers | General Acute Care Hospital | 2304 Juan St, San Diego, CA 92103-1111 | 2006-06-08 |
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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.