Active NPI
Maureen L Prowse, MD, MBA
- Family Medicine Physician
- Palm Desert, CA
National Provider Identifier
1174729461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A50676
- Practice address
- 183 Gran Via
Palm Desert, CA 92260-2130 - Phone
- (760) 340-5268
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A50676 | CA | Primary |
Addresses
Primary practice location
183 Gran Via
Palm Desert, CA 92260-2130
Mailing address
PO Box 1845
Rancho Mirage, CA 92270-1081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50676 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174729461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 GRAN VIA",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602130",
"telephone_number": "760-340-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROWSE",
"first_name": "MAUREEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A50676",
"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 Jul 8, 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.