Cardiothoracic Surgery Associates of the Desert

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G84058 Issued in CA

Legal business name

CARDIOTHORACIC SURGERY ASSOCIATES OF THE DESERT

Practice address

39000 Bob Hope Dr
K108
Rancho Mirage, CA 92270

Phone

(760) 568-4330

Fax

(760) 568-6470

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Surindra N Mitruka, MD

Title

Physician Partner

Phone

(760) 568-4330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph W Wilson Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rancho Mirage, CA
  • NPI 1851499370
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1174552269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K108",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-568-4330",
            "fax_number": "760-568-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K108",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-568-4330",
            "fax_number": "760-568-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGERY ASSOCIATES OF THE DESERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MITRUKA",
        "authorized_official_first_name": "SURINDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "760-568-4330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G84058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thy Bich Khanh Cao, PHARMACIST
• Leona Capers-Crook, RN, BSN
• Marc Capobianco, M.D.
• Leslie Lisa Cardenas
• Cardiothoracic Surgery Assoc of the Desert
• Lee H Cardon, CPO
• Caritas Medical Associates
• Mariz Jane Bacasmo Carizon, FNP
• Carlos a. Lopez a Professional Corporation
• Isabel G Carlos

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.