NPIMap

Organization Active NPI

My Family Clinic, Inc.

  • Primary Care Clinic/Center
  • Indio, CA
National Provider Identifier
1043603657
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A77736 Issued in CA
Legal business name
MY FAMILY CLINIC, INC.
Practice address
81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577
Phone
(760) 799-4957
Fax
(760) 200-2870
NPI assigned
Mar 7, 2015
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Javier Hernandez, MD
Title
President
Phone
(760) 625-9870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN500867 CA
Primary Care Clinic/Center 261QP2300X A77736 CA Primary

Addresses

Primary practice location

81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577

Mailing address

43781 Culebra LN
Bermuda Dunes, CA 92203-1523
Phone (760) 799-4957

National Provider Directory

National Provider Directory

Locations

81709 Doctor Carreon Blvd
Indio, CA 92201
Phone (760) 342-4200

NPI Registry JSON

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1043603657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43781 CULEBRA LN",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031523",
            "telephone_number": "760-799-4957",
            "fax_number": "760-200-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-799-4957",
            "fax_number": "760-200-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-625-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "RN500867",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A77736",
            "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 Mar 9, 2015; 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.