UCR FAMILY MEDICINE CENTER (NPI# 1326438078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326438078 |
| Entity Type | Organization |
| Organization Name | UCR FAMILY MEDICINE CENTER |
| Practice Address |
555 E Tachevah Dr Suite 2e-107 Palm Springs CA 92262-5750 |
| Mailing Address |
Po Box 31001-2130 Pasadena CA 91110-2130 |
| Practice Telephone | 7605617373 |
| Practice Fax Number | 7607782214 |
| Mailing Telephone | 2134121973 |
| Mailing Fax Number | 2134121981 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | JOHN A. HEYDT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
555 E TACHEVAH DR SUITE 2E-107 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449118 | Forgeron Physical Therapy | Physical Therapist | 555 E Tachevah Dr, 1 East #201, Palm Springs, CA 92262-5750 | 2005-07-07 |
| 1962937177 | Cherrie Bravo | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2017-04-25 |
| 1326579541 | Victoria Ryan | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Palm Springs, CA 92262-5750 | 2017-03-21 |
| 1194266460 | Anh Tuan Huu Ngo | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2017-03-20 |
| 1043687577 | Rachel Misquitta | Optometrist | 555 E Tachevah Dr, Suite 101e, Palm Springs, CA 92262-5750 | 2015-09-01 |
| 1861899213 | Cody Jay Tapp | Physician Assistant | 555 E Tachevah Dr, Suite 2w-203, Palm Springs, CA 92262-5750 | 2014-12-01 |
| 1164849964 | Ryan Anderson | Optometrist | 555 E Tachevah Dr, Suite 101e, Palm Springs, CA 92262-5750 | 2014-03-19 |
| 1548691025 | First Choice Physician Partners | Family Medicine | 555 E Tachevah Dr, Ste 2e # 107, Palm Springs, CA 92262-5750 | 2013-12-09 |
| 1972944189 | Murtaza Merali | Optometrist | 555 E Tachevah Dr, Suite 1e-101, Palm Springs, CA 92262-5750 | 2013-07-16 |
| 1376800730 | Srinivasa Krishna Srinidhi | Internal Medicine | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2012-04-23 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1295356665 | Eve Medical Center LLC | Clinic/Center | 3175 S Congress Ave Ste 200h, Palm Springs, FL 33461-2500 | 2020-04-27 |
| 1366828394 | Csi-pediatric Services, Inc. | Clinic/Center | 1720 S Congress Ave, Palm Springs, FL 33461-2140 | 2015-07-31 |
| 1356600068 | Back To Health Rehab Center | Clinic/Center | 3015 S Congress Ave, Suite 1, Palm Springs, FL 33461-2111 | 2012-05-15 |
| 1518169002 | California Abaris Rehabilitation and Educational Services, Inc. | Clinic/Center | 777 N Palm Canyon Dr, Suite 200, Palm Springs, CA 92262-5546 | 2007-06-05 |
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| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| 1356979215 | Jr Anesthesia Inc | Clinic/Center | 2327 Journey St, Chula Vista, CA 91915-2440 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on UCR FAMILY MEDICINE CENTER.
| 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.