Individual provider Active NPI

Enrique Seamanduras-Navarro, M.D.

  • Internal Medicine Physician
  • Coachella, CA
National Provider Identifier
1164080701
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A177187 Issued in CA
Practice address
49201 Grapefruit Blvd Ste 3
Coachella, CA 92236-1479
Phone
(760) 972-4704
Fax
(760) 537-2940
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A177187 CA Primary

Addresses

Primary practice location

49201 Grapefruit Blvd Ste 3
Coachella, CA 92236-1479

Mailing address

49201 Grapefruit Blvd Ste 3
Coachella, CA 92236-1479
Phone (760) 972-4704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111000966 CA Practitioner - Internal Medicine 3173990678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177187CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paredes Medical Corporation CurrentSince Dec 31, 2023 Accepting new patients
Desert Medical Group, Inc. Internal Medicine CurrentSince Jul 16, 2022 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients

Locations

49201 Grapefruit Blvd
Ste 3
Coachella, CA 92236
Phone (760) 514-2269

47647 Caleo Bay Dr
Ste 140
La Quinta, CA 92253
Phone (760) 289-2370

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: enrique.seamandurasnavarro.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1164080701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49201 GRAPEFRUIT BLVD STE 3",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361479",
            "telephone_number": "760-972-4704",
            "fax_number": "760-537-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49201 GRAPEFRUIT BLVD STE 3",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361479",
            "telephone_number": "760-972-4704",
            "fax_number": "760-537-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMANDURAS-NAVARRO",
        "first_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A177187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

Verify at the official NPI Registry.