Organization Active NPI

Mark Manning. Holt, MD, a Professional Corp

  • Specialist
  • Palm Desert, CA
National Provider Identifier
1154644334
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C53118 Issued in CA
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

Updated by the provider on Aug 15, 2018

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.