Edmund Ayoub, Jr., M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A104389 Issued in CA

Legal business name

EDMUND AYOUB, JR., M.D., INC

Practice address

3655 E Ramon Rd
Palm Springs, CA 92264-1150

Phone

(760) 835-4229

NPI assigned

Jul 2, 2008

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edmund Ayoub Jr., MDNPI 1114180866

Title

President

Phone

(760) 835-4229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edmund Ayoub Jr., MD

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114180866
  Authorized official Same address or phone

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1104089853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 3282",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922633282",
            "telephone_number": "760-327-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641150",
            "telephone_number": "760-835-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND AYOUB, JR., M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-835-4229",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.