NPIMap

Organization Active NPI

Inland Empire Fertility Center Medical Group Corp.

  • Specialist
  • Cathedral City, CA
National Provider Identifier
1023336252
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G59464 Issued in CA
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
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Elliott Edes, M.D.NPI 1447344270
Title
Doctor/Owner
Phone
(760) 770-5880

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 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. Other name

National Provider Directory

National Provider Directory

Locations

69265 Ramon Rd
Ste B1
Cathedral Cty, CA 92234
Phone (760) 770-5880

Practitioners & affiliated clinicians

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.

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.

Verify at the official NPI Registry.