NPIMap

Organization Active NPI

Douglas J. Roger M.D.,Inc., a Professional Corporation

Doing business as Orthopedic Institute of Coachella Valley

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1003959677
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G77670 Issued in CA
Legal business name
DOUGLAS J. ROGER M.D.,INC., A PROFESSIONAL CORPORATION
Doing business as
Orthopedic Institute of Coachella Valley
Practice address
1180 N Indian Canyon Dr Ste W201
Palm Springs, CA 92262-4876
Phone
(760) 416-4511
Fax
(760) 416-4512
NPI assigned
Feb 14, 2007
Last updated
Dec 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Douglas J. Roger, MDNPI 1649272337
Title
President
Phone
(760) 416-4511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G77670 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste W201
Palm Springs, CA 92262-4876

Mailing address

PO Box 2110
Palm Springs, CA 92263-2110
Phone (760) 416-4511

Other names 1

  • Orthopedic Institute of Coachella Valley Doing business as

National Provider Directory

National Provider Directory

Locations

221 Campillo St
Ste I
Calexico, CA 92231

800 W 6th St
#6
Los Angeles, CA 90017

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1003959677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632110",
            "telephone_number": "760-416-4511",
            "fax_number": "760-416-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE W201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-416-4511",
            "fax_number": "760-416-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J. ROGER M.D.,INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "ROGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-416-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Institute of Coachella Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.