Organization Active NPI

Gary S Bernard DO Inc

  • Specialist
  • Indio, CA
National Provider Identifier
1144495458
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A8186 Issued in CA
Legal business name
GARY S BERNARD DO INC
Practice address
81767 Dr Carreon Blvd
Suite 102
Indio, CA 92201
Phone
(760) 347-6004
Fax
(760) 347-6775
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mr. Gary S Bernard, D.O.NPI 1558360032
Title
Owner/Physician
Phone
(760) 347-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 20A8186 CA Primary

Addresses

Primary practice location

81767 Dr Carreon Blvd
Suite 102
Indio, CA 92201

Mailing address

81767 Dr Carreon Blvd
Suite 102
Indio, CA 92201
Phone (760) 347-6004

Other identifiers 1

IdentifierTypeStateIssuer
00AX81860MedicaidCA

National Provider Directory

National Provider Directory

Locations

79200 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 656-6100

79200 Corporate Center Dr
Ste C4
La Quinta, CA 92253
Phone (760) 564-0885

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1144495458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "SUITE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-6004",
            "fax_number": "760-347-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "SUITE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-6004",
            "fax_number": "760-347-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S BERNARD DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "760-347-6004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A8186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX81860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 28, 2008; 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.