PACIFIC MEDICAL ASSOCIATES, INC. (NPI# 1336583285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336583285 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL ASSOCIATES, INC. |
| Other Organization Name | DESERT VALLEY PRIMARY CARE ASSOCIATES |
| Practice Address |
79430 Highway 111 Suite #102 La Quinta CA 92253-4547 |
| Practice Telephone | 7606250569 |
| Practice Fax Number | 7607774339 |
| Mailing Telephone | 7606250569 |
| Mailing Fax Number | 7607774339 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | DR. BRADLEY PIERCE MUDGE (PRESIDENT) |
| Authorized Official Telephone | 7607774339 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Desert Valley Primary Care Associates | Doing Business As Name - Organization |
| Street Address |
79430 HIGHWAY 111 SUITE #102 |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598774846 | Shawn Anne Allen | Family Medicine | 79430 Highway 111, Suite 101, La Quinta, CA 92253-4547 | 2006-08-05 |
| 1346600350 | Brittany Denue | Physician Assistant | 79430 Highway 111, Unit 102, La Quinta, CA 92253-4547 | 2016-03-03 |
| 1952494288 | Dalip Tibb, M.d., P.C. | Family Medicine | 79430 Highway 111, Suite 102, La Quinta, CA 92253-4549 | 2006-09-30 |
| 1760584759 | Dalip Singh Tibb | Family Medicine | 79430 Highway 111, Suite 102, La Quinta, CA 92253-0569 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| 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 |
|---|---|---|---|---|
| 1184269177 | Primehealth 360 Inc | Family Medicine | 79440 Corporate Center Dr Ste 111a, La Quinta, CA 92253-7243 | 2019-11-13 |
| 1184933699 | Kondovski Medical Group | Family Medicine | 79440 Corporate Center Dr. Ste 110, La Quinta, CA 92253-7241 | 2010-09-30 |
| 1689856734 | Dulce Maria Oandasan | Family Medicine | 45280 Seeley Dr Fl 2, La Quinta, CA 92253-6834 | 2007-11-30 |
| 1164540456 | Matthew L Werner | Family Medicine | 47250 Washington St, A, La Quinta, CA 92253-2105 | 2007-03-26 |
| 1699810838 | Edith Gonzalez-werner | Family Medicine | 47250 Washington St Ste A, La Quinta, CA 92253-2105 | 2007-02-21 |
| 1225199581 | Erika Sue Estock | Family Medicine | 49499 Eisenhower Dr, Wellmax, La Quinta, CA 92253-2722 | 2006-12-12 |
| 1962599720 | Jodean Nicolette | Family Medicine | 78965 Highway 111, La Quinta, CA 92253-2072 | 2006-10-05 |
| 1598774846 | Shawn Anne Allen | Family Medicine | 79430 Highway 111, Suite 101, La Quinta, CA 92253-4547 | 2006-08-05 |
| 1396710646 | Peter M Kadile | Family Medicine | 78100 Main St, Ste 207, La Quinta, CA 92253-8962 | 2006-02-21 |
| 1285632604 | Stephen Ross Steele | Family Medicine | 45280 Seeley Dr, 3rd Floor, La Quinta, CA 92253-6834 | 2005-07-09 |
| Find all providers in LA QUINTA | ||||
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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.