JFK MEMORIAL HOSPITAL (NPI# 1508225780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508225780 |
| Entity Type | Organization |
| Organization Name | JFK MEMORIAL HOSPITAL |
| 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 | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT & CEO) |
| 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 | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028734 | Jfk Memorial Hospital | General Acute Care Hospital | 7717 Dancy Rd, San Diego, CA 92126-3040 | 2015-11-25 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477584993 | Jfk Memorial Hospital, Inc. | General Acute Care Hospital | 47-111 Monroe Street, Indio, CA 92201 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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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.