Organization Active NPI

Foot Ankle Associated of the Desert

  • Foot & Ankle Surgery Podiatrist
  • Indio, CA
National Provider Identifier
1093795320
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.