MATTIE EVANS ALDERMAN FOUNDATION, INC. (NPI# 1356452437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356452437 |
| Entity Type | Organization |
| Organization Name | MATTIE EVANS ALDERMAN FOUNDATION, INC. |
| Practice Address |
41800 Washington St Suite #110 Bermuda Dunes CA 92203-8150 |
| Practice Telephone | 7603452696 |
| Practice Fax Number | 7603454961 |
| Mailing Telephone | 7603452696 |
| Mailing Fax Number | 7603454961 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. ROBERT LEROY HARMON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7603452696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A27983 | CA | Ambulatory Health Care Facilities |
| Street Address |
41800 WASHINGTON ST SUITE #110 |
| City | BERMUDA DUNES |
| State | CA |
| Zip Code | 92203-8150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871809012 | Phillip Vogel | Technician/Technologist | 41800 Washington St, Suite 107, Bermuda Dunes, CA 92203-8150 | 2010-08-25 |
| 1295056778 | Peachy U Lua | Pharmacist | 41800 Washington St, Ste 113b, Bermuda Dunes, CA 92203-8150 | 2010-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372469 | Juan Edwin Brionesgarcia | Respiratory Therapist, Registered | 82820 Mount Riley Drive, Indio, CA 92203 | 2018-10-22 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568718849 | John R Bellinger | Psychologist | 81135 Avenida Pamplona, Indio, CA 92203 | 2012-07-24 |
| 1952666497 | Lindsay Castle | Physical Therapy Assistant | 83894 Avenida Serena, Indio, CA 92203 | 2012-07-11 |
| 1477819829 | Salvador Cuellar Hernandez | Family Medicine | 82900 Avenue 42nd Suite G-101, Indio, CA 92203 | 2012-04-10 |
| 1720299118 | Deborah Ann Urquhart | Speech-Language Pathologist | 81578 Camino El Triunfo, Indio, CA 92203 | 2007-05-25 |
| 1467672345 | Herr-kostic Medical Group Inc. | Internal Medicine | 41-120 Washington St, Suite 101, Bermuda Dunes, CA 92203 | 2007-04-26 |
| 1891828141 | Paula M Defrees | Physical Medicine & Rehabilitation | 70-078 Country Club Dr., Suite 205, Bermuda Dunes, CA 92203 | 2007-03-14 |
| 1851467344 | William Young Carlson | Physical Therapist | 79380 Bowden Drive, Bermuda Dunes, CA 92203 | 2006-11-27 |
| 1831593581 | Armando Robles | Behavioral Analyst | 47915 Oasis St, Indio, CA 92203 | 2014-10-09 |
| Find all providers in zip 92203 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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| City | BERMUDA DUNES |
| Zip Code | 92203 |
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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.