Desert Family Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP9223 Issued in CA

Legal business name

DESERT FAMILY CARE

Practice address

81713 Highway 111
Suite F
Indio, CA 92201-0000

Phone

(760) 863-5355

Fax

(760) 863-5885

NPI assigned

Jun 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Job Lopez, NPNPI 1871565796

Title

NP

Phone

(760) 863-5355

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Job Portillo Lopez, FNP

  • Family Nurse Practitioner
  • Indio, CA
  • NPI 1871565796
  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023215308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81713 HIGHWAY 111",
            "address_2": "SUITE F",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010000",
            "telephone_number": "760-863-5355",
            "fax_number": "760-863-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81713 HIGHWAY 111",
            "address_2": "SUITE F",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010000",
            "telephone_number": "760-863-5355",
            "fax_number": "760-863-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOB",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "760-863-5355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP9223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Cottages LLC
• Desert Cottages LLC
• Desert Cottages LLC
• Desert Cottages LLC
• Desert Cottages LLC
• Desert Health Managment Inc.
• Desert Medical Group (First Choice Immediate Care)
• Desert Medical Group
• Desert Medical Imaging, a Medical Corporation (Desert Medical Imaging)
• Desert Medical Specialists Inc

• Family Nurse Practitioner in Indio, CA
• Providers in Indio, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.