NPIMap

Organization Active NPI

Eisenhower Medical Center

Doing business as Eisenhower Health

  • General Acute Care Hospital
  • Palm Springs, CA
National Provider Identifier
1134424625
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
250000142 Issued in CA
Legal business name
EISENHOWER MEDICAL CENTER
Doing business as
Eisenhower Health
Practice address
4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264-5232
Phone
(760) 834-7930
Fax
(760) 834-7931
NPI assigned
Jan 14, 2011
Last updated
Apr 3, 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 3, 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 250000142 CA Primary

Addresses

Primary practice location

4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264-5232

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Phone (760) 834-7930

Other names 2

  • Eisenhower Health Doing business as
  • Eisenhower Other name

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

Locations

4791 E Palm Canyon Dr
Ste 100
Palm Springs, CA 92264
Phone (760) 834-7930

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1134424625",
    "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": "760-834-7930",
            "fax_number": "760-834-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 E PALM CANYON DR STE 100",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645232",
            "telephone_number": "760-834-7930",
            "fax_number": "760-834-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EISENHOWER MEDICAL CENTER",
        "enumeration_date": "2011-01-14",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "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": "CA",
            "license": "250000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenhower Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eisenhower",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.