Desert Elite Eye Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DESERT ELITE EYE GROUP INC

Practice address

1180 N Indian Canyon Dr Ste E130
Palm Springs, CA 92262-4876

Phone

(760) 776-8600

Fax

(760) 776-8400

NPI assigned

Dec 14, 2023

Last updated

Feb 9, 2024By 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

Walllace Goldban, MD

Title

Ceo

Phone

(760) 880-3850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• John Winston Duggan Jr., M.D., M.S.

  • Specialist
  • San Jose, CA
  • NPI 1851313514
  Medicare reassignment Care Compare group NPD
• Wallace Franklin Goldban, M.D.

  • Ophthalmology Physician
  • Palm Springs, CA
  • NPI 1780872671
  Medicare reassignment Care Compare group NPD
• Michael Rauser, M.D.

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1992737498
  Medicare reassignment Care Compare group NPD
• Loretta L De Koster, O.D.

  • Optometrist
  • Elmwood Park, IL
  • NPI 1316028723

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1023886512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E130",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-776-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E130",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-776-8600",
            "fax_number": "760-776-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ELITE EYE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "GOLDBAN",
        "authorized_official_first_name": "WALLLACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-880-3850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Community Care Hospice, Inc
• Desert Comprehensive Treatment Center
• Desert Consultants Inc
• Desert Consultants,Inc
• Desert Cornerstone Health Inc (Palm Springs Chiropractic)
• Desert Elite Eye Group Inc
• Desert Eye a Medical Corp
• Desert Family Healthcare Inc
• Desert Hearing Associates, Inc.
• Desert Heart Institute, Inc

• Ophthalmology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.