Organization Active NPI

Lifschutz Medical Group a Professional Corporation

  • Family Medicine Physician
  • Indio, CA
National Provider Identifier
1043060387
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFSCHUTZ MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
81767 Doctor Carreon Blvd Ste 102
Indio, CA 92201-5598
Phone
(760) 863-5355
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Heidi Horning
Title
Credentialer
Phone
(707) 299-7043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

81767 Doctor Carreon Blvd Ste 102
Indio, CA 92201-5598

Mailing address

81767 Doctor Carreon Blvd Ste 102
Indio, CA 92201-5598

National Provider Directory

National Provider Directory

Locations

31375 Date Palm Dr
Ste C
Cathedral City, CA 92234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1043060387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DOCTOR CARREON BLVD STE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81767 DOCTOR CARREON BLVD STE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015598",
            "telephone_number": "760-863-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFSCHUTZ MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "HORNING",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "707-299-7043"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.