Desert Dermaesthetics, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A88507 Issued in CA

Legal business name

DESERT DERMAESTHETICS, INC.

Practice address

47647 Caleo Bay Drive
Suite 250
La Quinta, CA 92253-9998

Phone

(760) 777-7993

Fax

(760) 777-4244

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ruth Ellen Vanderplas, MDNPI 1235233743

Title

President

Phone

(760) 777-7993

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Ruth Ellen Vanderplas, M.D.

  • Dermatology Physician
  • La Quinta, CA
  • NPI 1235233743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1144343310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DRIVE",
            "address_2": "SUITE 250",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922539998",
            "telephone_number": "760-777-7993",
            "fax_number": "760-777-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DRIVE",
            "address_2": "SUITE 250",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922539998",
            "telephone_number": "760-777-7993",
            "fax_number": "760-777-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DERMAESTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "VANDERPLAS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-777-7993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A88507",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A88507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ60262Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glynis Tan Del Rosario, NP
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• Dental Corporation of Rodriguez Cruz DDS (Full Dental, Office of Alberto Rodriguez Cruz)
• Desert Medical Care & Wellness
• Desert Pediatrics Inc
• Desert Rheumatology Infusions Inc
• Desert Rheumatology Infusions Inc
• Desert Sands Unified School District

• Dermatology Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.