NPIMap

Organization Active NPI

Desert Medical Group/Living and Aging Well

Doing business as Desert Oasis Healthcare

  • Geriatric Medicine (Family Medicine) Physician
  • Cathedral City, CA
National Provider Identifier
1154312619
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
DESERT MEDICAL GROUP/LIVING AND AGING WELL
Doing business as
Desert Oasis Healthcare
Practice address
68860 Perez Rd
Cathedral City, CA 92234-7249
Phone
(760) 328-4499
Fax
(760) 320-2725
NPI assigned
Nov 3, 2005
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Helene Leclair
Title
Administrator
Phone
(760) 320-4122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary

Addresses

Primary practice location

68860 Perez Rd
Cathedral City, CA 92234-7249

Mailing address

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 320-4122

Other names 1

  • Desert Oasis Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Medical Group15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

68860 Perez Rd
Cathedral Cty, CA 92234
Phone (760) 328-4499

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1154312619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-320-4122",
            "fax_number": "760-320-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68860 PEREZ RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347249",
            "telephone_number": "760-328-4499",
            "fax_number": "760-320-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL GROUP/LIVING AND AGING WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "LECLAIR",
        "authorized_official_first_name": "HELENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-320-4122"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Oasis Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.