Individual provider Active NPI

Kenneth Tembei Acha, M.D.

  • Family Medicine Physician
  • Cathedral City, CA
National Provider Identifier
1174900211
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139604 Issued in CA
Practice address
69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344
Phone
(760) 321-6776
NPI assigned
Apr 28, 2015
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A139604 CA Primary

Addresses

Primary practice location

69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344

Mailing address

1100 N Palm Canyon Dr Ste 203
Palm Springs, CA 92262-4426
Phone (760) 459-2664

Other practice location 1

1100 N Palm Canyon Dr Ste 203
Palm Springs, CA 92262-4426
Phone (760) 459-2664

Other practice location 2

1100 N Palm Canyon Dr Ste 203
Palm Springs, CA 92262-4426
Phone (760) 459-2664

Other practice location 3

1100 N Palm Canyon Dr Ste 203
Palm Springs, CA 92262-4426
Phone (760) 459-2664

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
I20180710003510 CA Practitioner - Family Practice 9830445584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

69175 Ramon Rd
BLDG a
Cathedral City, CA 92234-3344
Phone (760) 321-6776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139604CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Jul 28, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
Dap Health, Inc. Family Medicine Current Accepting new patients
Dap Health Inc. Current Accepting new patients
Dap Health, Inc. CurrentSince Aug 10, 2024 Accepting new patients
St. Johns Community Health CurrentSince Jul 28, 2025 Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Sep 12, 2018 Accepting new patients
First Choice Physician Partners CurrentSince Sep 12, 2018 Accepting new patients
Dap Health, Inc. CurrentSince Aug 10, 2024 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

58581 US Highway 371
Ste Fgh
Anza, CA 92539
Phone (951) 763-4759

69175 Ramon Rd
#A
Cathedral Cty, CA 92234
Phone (760) 321-6776

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1100 N Palm Canyon Dr
Ste 203
Palm Springs, CA 92262
Phone (760) 320-1199

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
#1112
Rancho Mirage, CA 92270
Phone (760) 773-1251

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kacha@borregomedical.directbygreenway.com
  • Direct secure messaging: kacha684538@direct.ochin.org

Organizations & group practices 12

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

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1174900211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 203",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-459-2664",
            "fax_number": "760-770-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69175 RAMON RD BLDG A",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-321-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Palm Canyon Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624426",
            "country_code": "US",
            "telephone_number": "760-459-2664",
            "fax_number": "760-770-5893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Palm Canyon Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624426",
            "country_code": "US",
            "telephone_number": "760-459-2664",
            "fax_number": "760-770-5893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Palm Canyon Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624426",
            "country_code": "US",
            "telephone_number": "760-459-2664",
            "fax_number": "760-770-5893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHA",
        "first_name": "KENNETH",
        "middle_name": "TEMBEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.