Concept Medical Associates

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A86478 Issued in CA

Legal business name

CONCEPT MEDICAL ASSOCIATES

Practice address

35400 Bob Hope Dr
Suite # 209
Rancho Mirage, CA 92270-1772

Phone

(760) 699-7117

Fax

(760) 699-7750

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Raju Khanchustambham, MS

Title

Director

Phone

(760) 217-0126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1013151364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR",
            "address_2": "STE. E-5 #117",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702006",
            "telephone_number": "760-217-0126",
            "fax_number": "760-699-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE # 209",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-699-7117",
            "fax_number": "760-699-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "KHANCHUSTAMBHAM",
        "authorized_official_first_name": "RAJU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-217-0126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A86478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland I Collard, PA
• Robert Anthony Collins, MD
• Carlos Colon Jr., MSN, NP-C
• Barbara C Comess, MD
• Aleena Commandeur, LCSW
• Concept Medical Associates
• Diane Eileen Conklin, LCSW
• Janet Elaine Conley, NP-C
• Connect Hearing, Inc.
• Dennis Kaighn Constan, PHARMD

• Primary Care Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.