NPIMap

Organization Active NPI

Desert Vascular Institute, a Professional Medical Corporation

  • Vascular & Interventional Radiology Physician
  • Palm Desert, CA
National Provider Identifier
1154744498
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DESERT VASCULAR INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION
Practice address
36955 Cook St
Suite 101
Palm Desert, CA 92211-6084
Phone
(760) 836-9005
Fax
(760) 836-9055
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Puneet Khanna, MD
Title
President
Phone
(760) 836-9005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

36955 Cook St
Suite 101
Palm Desert, CA 92211-6084

Mailing address

36955 Cook St
Suite 101
Palm Desert, CA 92211-6084
Phone (760) 836-9005

Other names 1

  • Desert Vascular Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1154744498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36955 COOK ST",
            "address_2": "SUITE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116084",
            "telephone_number": "760-836-9005",
            "fax_number": "760-836-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36955 COOK ST",
            "address_2": "SUITE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116084",
            "telephone_number": "760-836-9005",
            "fax_number": "760-836-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VASCULAR INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-836-9005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2014; 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.