EMPIRE SPECIALISTS INCORPORATED (NPI# 1720384548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720384548 |
| Entity Type | Organization |
| Organization Name | EMPIRE SPECIALISTS INCORPORATED |
| Practice Address |
82013 Dr Carreon Blvd Suite G Indio CA 92201-4832 |
| Mailing Address |
2115 Compton Ave Suite 104 Corona CA 92881-7272 |
| Practice Telephone | 9512807888 |
| Practice Fax Number | 9513729014 |
| Mailing Telephone | 6267988600 |
| Mailing Fax Number | 6267988842 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | DR. WALTER JAYASINGHE (CEO) |
| Authorized Official Telephone | 9512807700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
82013 DR CARREON BLVD SUITE G |
| City | INDIO |
| State | CA |
| Zip Code | 92201-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795320 | Foot Ankle Associated of The Desert | Podiatrist | 82013 Dr Carreon Blvd, Indio, CA 92201-5832 | 2006-01-20 |
| 1104366913 | Dulyawat Imraporn | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2017-02-27 |
| 1790145217 | Matthew Wilson | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2016-02-25 |
| 1578923009 | Cristina Valenzuela | Physical Therapist | 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 | 2016-02-25 |
| 1972998763 | Thomas Crosby | Radiologic Technologist | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2015-03-30 |
| 1326438946 | Wesley William Tolles | Physician Assistant | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2015-02-03 |
| 1922416023 | Zekhariah Inyasio Idro | Physician Assistant | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2014-08-01 |
| 1649604257 | Darcy M Hlavin | Physical Therapist | 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201-4832 | 2013-08-30 |
| 1902245343 | 24 Hour Urgent Care of The Desert | Clinic/Center | 82013 Dr Carreon Blvd, Suite #g, Indio, CA 92201-4832 | 2013-06-19 |
| 1700229101 | Catherine C Kopko | Physical Therapist | 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201-4832 | 2013-04-16 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EMPIRE SPECIALISTS INCORPORATED.
| 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.