W.RAY HENDERSON MD INC (NPI# 1821291923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821291923 |
| Entity Type | Organization |
| Organization Name | W.RAY HENDERSON MD INC |
| Other Organization Name | RENAISSANCE COSMETIC SURGERY |
| Practice Address |
73180 El Paseo Palm Desert CA 92260-4218 |
| Practice Telephone | 7603463810 |
| Practice Fax Number | 7603463083 |
| Mailing Telephone | 7603463810 |
| Mailing Fax Number | 7603463083 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | RAY HENDERSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7603463810 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
C24144 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ASC PROVIDER NUMBER | 250030001824 | 01 |
| Other Name | Type Code |
|---|---|
| RENAISSANCE COSMETIC SURGERY | Other Name - Individual/Organization |
| Street Address |
73180 EL PASEO |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144233537 | Michael Elliott Hill | Plastic Surgery | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2006-08-15 |
| 1851856793 | Trilogy Eye Medical Group, Inc. | Ophthalmology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2019-02-05 |
| 1891250734 | Retina Institute of California Medical Group | Ophthalmology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2019-02-05 |
| 1215171020 | W. Ray Henderson,md Inc | Otolaryngology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2009-04-23 |
| 1881854206 | W Ray Henderson Md Inc | Clinic/Center | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2008-06-10 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1316440811 | Palm Valley Surgical Center, Inc | Clinic/Center | 72650 Fred Waring Dr Ste 103, Palm Desert, CA 92260-5007 | 2018-03-12 |
| 1699014175 | Zak Medical Corp | Clinic/Center | 73710 Alessandro Dr, Suite A1, Palm Desert, CA 92260-3638 | 2013-02-04 |
| 1295072049 | Renaissance Asc, LLC | Clinic/Center | 44139 Monterey Ave Ste B, Palm Desert, CA 92260-8700 | 2013-01-14 |
| 1730642216 | Palm Desert Surgery Center, A Medical Corporation | Clinic/Center | 44331 Monterey Ave, Palm Desert, CA 92260-2788 | 2019-04-10 |
| 1649663881 | Csi Physician and Medical Services, LLC | Clinic/Center | 73710 Alessandro Dr, A1, Palm Desert, CA 92260-3638 | 2015-03-12 |
| 1730572975 | Alessandro Surgery Center, LLC | Clinic/Center | 73710 Alessandro Dr, A1, Palm Desert, CA 92260-3638 | 2015-03-12 |
| 1295128437 | Mapzak, LLC | Clinic/Center | 73710 Alessandro Dr, A1, Palm Desert, CA 92260-3638 | 2015-03-12 |
| 1124411400 | Csi Physican & Medical Services, LLC | Clinic/Center | 73710 Alessandro Dr., Bld Ct A1, Palm Desert, CA 92260 | 2015-03-11 |
| 1891188264 | Mapzak, LLC | Clinic/Center | 73710 Alessandro Dr., Bldg A1, Palm Desert, CA 92260 | 2015-03-10 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on W.RAY HENDERSON MD INC.
| 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.