Indio Surgery Center

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

550000265 Issued in CA

Legal business name

INDIO SURGERY CENTER

Practice address

46900 Monroe St Ste B201
Indio, CA 92201-4828

Phone

(760) 396-5733

Fax

(760) 396-5723

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Diana Jesson

Title

Administrator

Phone

(760) 396-5733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1053898593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46900 MONROE ST STE B201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014828",
            "telephone_number": "760-396-5733",
            "fax_number": "760-396-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46900 MONROE ST STE B201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014828",
            "telephone_number": "760-396-5733",
            "fax_number": "760-396-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "JESSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-396-5733"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "550000265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zekhariah Inyasio Idro, PA-C
• Indio Behavioral Hospital, LLC
• Indio Emergency Med Group Inc
• Indio Healthcare & Wellness Center, LLC
• Indio Nursing and Rehabilitation Center Inc.
• Indio Surgery Center
• Industrial Healthcare Physicians Medical Group, Inc
• Infinite Love and Care Homes
• Infiniti Health Products, LLC
• Sonia Iniguez

• Anesthesiology Physician in Indio, CA
• Providers in Indio, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.