Organization Active NPI

Cancer Survivorship Care Nursing Corporation

  • Nurse Practitioner
  • Indio, CA
National Provider Identifier
1174302038
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CANCER SURVIVORSHIP CARE NURSING CORPORATION
Practice address
80296 Royal Dornoch Dr
Indio, CA 92201-2786
Phone
(786) 227-8744
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Janet Diaz
Title
NP
Phone
(786) 227-8744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

80296 Royal Dornoch Dr
Indio, CA 92201-2786

Mailing address

80296 Royal Dornoch Dr
Indio, CA 92201-2786
Phone (786) 227-8744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1174302038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80296 ROYAL DORNOCH DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012786",
            "telephone_number": "786-227-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80296 ROYAL DORNOCH DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012786",
            "telephone_number": "786-227-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SURVIVORSHIP CARE NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "786-227-8744"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.