Active NPI
Mark Manning. Holt, MD, a Professional Corp
- Specialist
- Palm Desert, CA
National Provider Identifier
1154644334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C53118
- Legal business name
- MARK MANNING. HOLT, MD, A PROFESSIONAL CORP
- Practice address
- 72650 Fred Waring Dr Ste 204
Palm Desert, CA 92260 - Phone
- (760) 324-3000
- NPI assigned
- Mar 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Manning Holt, M.D.
- Title
- President Owner
- Phone
- (760) 324-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C53118 | CA | Primary |
Addresses
Primary practice location
72650 Fred Waring Dr Ste 204
Palm Desert, CA 92260
Mailing address
72650 Fred Waring Dr Ste 204
Palm Desert, CA 92260-5009
Phone (760) 324-3000
National Provider Directory
National Provider DirectoryLocations
35280 Bob Hope Dr
Ste 101
Rancho Mirage, CA 92270
Phone (760) 324-3000
35400 Bob Hope Dr
Ste 103
Rancho Mirage, CA 92270
Phone (760) 844-7844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Rancho Mirage, CA
- NPI 1932356177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534291200000",
"number": "1154644334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72650 FRED WARING DR STE 204",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922605009",
"telephone_number": "760-324-3000",
"fax_number": "760-324-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72650 FRED WARING DR STE 204",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-324-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK MANNING. HOLT, MD, A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-02",
"last_updated": "2018-08-15",
"status": "A",
"authorized_official_last_name": "HOLT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "MANNING",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "760-324-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "C53118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.