NPIMap

Organization Active NPI

Coachella Valley Digestive Health Inc.

  • Gastroenterology Physician
  • La Quinta, CA
National Provider Identifier
1124485099
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A101199 Issued in CA
Legal business name
COACHELLA VALLEY DIGESTIVE HEALTH INC.
Practice address
47170 Washington St
Suite 100
La Quinta, CA 92253-2089
Phone
(760) 771-1111
NPI assigned
Jan 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Adewale Ajumobi, MD
Title
President
Phone
(310) 801-0492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A101199 CA Primary

Addresses

Primary practice location

47170 Washington St
Suite 100
La Quinta, CA 92253-2089

Mailing address

44489 Town Center Way
Suite D485
Palm Desert, CA 92260-2723

National Provider Directory

National Provider Directory

Locations

47170 Washington St
Ste 100
La Quinta, CA 92253
Phone (760) 771-1111

44489 Town Center Way
Ste D485
Palm Desert, CA 92260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1124485099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44489 TOWN CENTER WAY",
            "address_2": "SUITE D485",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47170 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532089",
            "telephone_number": "760-771-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY DIGESTIVE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "AJUMOBI",
        "authorized_official_first_name": "ADEWALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-801-0492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A101199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.