NPIMap

Organization Active NPI

Eisenhower Medical Center

Doing business as Eisenhower Health

  • General Acute Care Hospital
  • Indio, CA
National Provider Identifier
1114624665
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EISENHOWER MEDICAL CENTER
Doing business as
Eisenhower Health
Practice address
81719 Dr Carreon Blvd Ste B
Indio, CA 92201-5518
Phone
(760) 837-8722
Fax
(760) 834-7989
NPI assigned
Feb 14, 2023
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EISENHOWER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Martin Joseph Massiello
Title
President/Ceo
Phone
(760) 773-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

81719 Dr Carreon Blvd Ste B
Indio, CA 92201-5518

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Phone (760) 837-8722

Other names 1

  • Eisenhower Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000102 CA Part B Supplier - Clinic/Group Practice 5890689657 Receives reassigned benefits from 618 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Springs, CA; Rancho Mirage, CA; Yucca Valley, CA; La Quinta, CA; Cathedral City, CA; Indio, CA; Palm Desert, CA

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Labtechniques Kiewit 1025 organizations share this tax ID, including this one
Part of
Labtechniques Kiewit 10

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1114624665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703202",
            "telephone_number": "760-837-8722",
            "fax_number": "760-834-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81719 DR CARREON BLVD STE B",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015518",
            "telephone_number": "760-837-8722",
            "fax_number": "760-834-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EISENHOWER MEDICAL CENTER",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "MASSIELLO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-773-1228"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenhower Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.