DESERT ADVANCED IMAGING MEDICAL CENTER (NPI# 1568416147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568416147 |
Entity Type | Organization |
Organization Name | DESERT ADVANCED IMAGING MEDICAL CENTER |
Practice Address |
72855 Fred Waring Dr Palm Desert CA 92260-9368 |
Mailing Address |
1516 Cotner Ave Los Angeles CA 90025-3303 |
Practice Telephone | 7603461130 |
Practice Fax Number | 7608360385 |
Mailing Telephone | 3104452951 |
Mailing Fax Number | 3104791459 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2008-03-28 |
Authorized Official Name | HOWARD G. BERGER (PRESIDENT) |
Authorized Official Telephone | 3104452800 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0092471 | 05 | |
CA | BLUE SHIELD | ZZZ01734Z | 01 |
CA | BLUE SHIELD | ZZZ01737Z | 01 |
CA | GR0092470 | 05 | |
CA | GR0092473 | 05 | |
CA | BLUE SHIELD | ZZZ01735Z | 01 |
CA | BLUE SHIELD | ZZZ01738Z | 01 |
CA | BLUE SHIELD | ZZZ01736Z | 01 |
CA | GR0092472 | 05 | |
CA | GR0092474 | 05 | |
CA | BLUE SHIELD | ZZZ01739Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598719759 | Desert Advanced Imaging Medical Center | Radiology | 2601 E Tahquitz Canyon Way, Palm Springs, CA 92262-7015 | 2006-05-20 |
1801841242 | Desert Advanced Imaging Medical Center | Radiology | 81880 Dr Carreon Blvd, Suite A102, Indio, CA 92201-5559 | 2006-05-24 |
1932154978 | Desert Advanced Imaging Medical Center | Radiology | 1180 N Indian Canyon Dr, Suite E155, Palm Springs, CA 92262-4800 | 2006-05-24 |
Street Address |
72855 FRED WARING DR |
City | PALM DESERT |
State | CA |
Zip Code | 92260-9368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770905051 | Arias Muro Dental Corporation | Dentist | 72855 Fred Waring Dr, C17&18, Palm Desert, CA 92260-9368 | 2014-01-06 |
1154674836 | Charter Home Health of The Desert LLC | Home Health | 72855 Fred Waring Dr, Suite A4, Palm Desert, CA 92260-9368 | 2012-10-18 |
1619220399 | Charter Hospice of The Desert LLC | Hospice Care, Community Based | 72855 Fred Waring Dr, Suite A5, Palm Desert, CA 92260-9368 | 2012-10-18 |
1982982070 | Amery Consulting Inc. | Durable Medical Equipment & Medical Supplies | 72855 Fred Waring Dr, Suite C19, Palm Desert, CA 92260-9372 | 2011-07-24 |
1114227568 | Juli L. Walls, D.c., L.ac., Apac | Acupuncturist | 72855 Fred Waring Dr, C-20, Palm Desert, CA 92260-9368 | 2010-11-01 |
1558521963 | Desert Medical Advances Dma of The Coachella Valley Medical Corporatio | Specialist | 72855 Fred Waring Dr, Suite A-6, Palm Desert, CA 92260-9367 | 2008-06-10 |
1801950571 | Mary Laura Garvey | Social Worker | 72855 Fred Waring Dr, Ste. C-16, Palm Desert, CA 92260-9367 | 2006-12-20 |
1619902798 | Kristen Lee Bohnet | Chiropractor | 72855 Fred Waring Dr, Suite C-20, Palm Desert, CA 92260-9367 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
Find all providers in zip 92260 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982142758 | Medical Insights Diagnostic Centers Concord Professional Corporation | Radiology | 14 Avenida Andra, Palm Desert, CA 92260-1621 | 2017-02-01 |
1396936068 | Megan Ashley Foster | Radiology | 72782 Bel Air Rd, Palm Desert, CA 92260-6003 | 2007-08-07 |
1922128255 | Christopher Rigas Hancock | Radiology | 48471 Crestview Dr, Palm Desert, CA 92260-6565 | 2007-03-30 |
1053422279 | Sydney Louis Stevens | Radiology | 44215 Monterey, Palm Desert, CA 92260 | 2006-08-31 |
1295763654 | Open Mri of The Desert Ltd | Radiology | 44215 Monterey Ave, Palm Desert, CA 92260-2710 | 2006-06-28 |
1437149267 | William M. Kelly M.d., Inc. | Radiology | 74000 Country Club Dr, Suite E 1, Palm Desert, CA 92260-2789 | 2005-10-24 |
1699965707 | Sheila Rabbani Wilson | Radiology | 74000 Country Club Dr Ste E1, Palm Desert, CA 92260-1678 | 2007-07-26 |
1366553588 | Ronald D Taylor | Radiology | 44215 Monterey Ave, Palm Desert, CA 92260 | 2006-08-31 |
1316058530 | Donald H Wade | Radiology | 44215 Monterey Ave, Palm Desert, CA 92260 | 2006-08-31 |
1356369847 | Open System Imaging Inc | Radiology | 44215 Monterey Ave, Palm Desert, CA 92260 | 2006-07-17 |
Find all providers in PALM DESERT |
City | PALM DESERT |
Zip Code | 92260 |
Please comment or provide details below to improve the information on DESERT ADVANCED IMAGING MEDICAL 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.