Active NPI
Foot Ankle Associated of the Desert
- Foot & Ankle Surgery Podiatrist
- Indio, CA
National Provider Identifier
1093795320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FOOT ANKLE ASSOCIATED OF THE DESERT
- Practice address
- 82013 Dr Carreon Blvd
Indio, CA 92201-5832 - Phone
- (760) 863-0048
- NPI assigned
- Jan 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Edward Ebaugh, DPM
- Title
- Podiatry
- Phone
- (760) 863-0070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Skilled Nursing Facility | 314000000X | CA |
Addresses
Primary practice location
82013 Dr Carreon Blvd
Indio, CA 92201-5832
Mailing address
82013 Dr Carreon Blvd
Indio, CA 92201-5832
Phone (760) 863-0048
Other names 1
- FOOT ANKLE ASSOCIATES OF THE DESERT
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1093795320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82013 DR CARREON BLVD",
"city": "INDIO",
"state": "CA",
"postal_code": "922015832",
"telephone_number": "760-863-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82013 DR CARREON BLVD",
"city": "INDIO",
"state": "CA",
"postal_code": "922015832",
"telephone_number": "760-863-0048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT ANKLE ASSOCIATED OF THE DESERT",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "EBAUGH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PODIATRY",
"authorized_official_telephone_number": "760-863-0070",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FOOT ANKLE ASSOCIATES OF THE DESERT",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Sep 11, 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.