Active NPI
Inland Empire Fertility Center Medical Group Corp.
- Specialist
- Cathedral City, CA
National Provider Identifier
1023336252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G59464
- Legal business name
- INLAND EMPIRE FERTILITY CENTER MEDICAL GROUP CORP.
- Practice address
- 69265 Ramon Rd
Suite B1
Cathedral City, CA 92234-3391 - Phone
- (760) 770-5880
- Fax
- (760) 770-5875
- NPI assigned
- May 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elliott Edes, M.D.
- Title
- Doctor/Owner
- Phone
- (760) 770-5880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G59464 | CA | Primary |
Addresses
Primary practice location
69265 Ramon Rd
Suite B1
Cathedral City, CA 92234-3391
Mailing address
69265 Ramon Rd
Suite B1
Cathedral City, CA 92234-3391
Phone (760) 770-5880
Other names 1
- ELLIOTT EDES M.D.
National Provider Directory
National Provider DirectoryLocations
69265 Ramon Rd
Ste B1
Cathedral Cty, CA 92234
Phone (760) 770-5880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273622400000",
"number": "1023336252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69265 RAMON RD",
"address_2": "SUITE B1",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922343391",
"telephone_number": "760-770-5880",
"fax_number": "760-770-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69265 RAMON RD",
"address_2": "SUITE B1",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922343391",
"telephone_number": "760-770-5880",
"fax_number": "760-770-5875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND EMPIRE FERTILITY CENTER MEDICAL GROUP CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A",
"authorized_official_last_name": "EDES",
"authorized_official_first_name": "ELLIOTT",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "760-770-5880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G59464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELLIOTT EDES M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.