Active NPI
Desert Hand and Plastic Surgery PC
- Plastic Surgery Physician
- Palm Desert, CA
National Provider Identifier
1174949945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A60193
- Legal business name
- DESERT HAND AND PLASTIC SURGERY PC
- Practice address
- 72650 Fred Waring Dr
Suite 109
Palm Desert, CA 92260-5006 - Phone
- (760) 837-7200
- Fax
- (760) 837-7201
- NPI assigned
- Mar 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Bowen, MD
- Title
- Ceo/Surgeon
- Phone
- (760) 837-7200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A60193 | CA | |
| Plastic Surgery Physician | 208200000X | A60193 | CA | Primary |
Addresses
Primary practice location
72650 Fred Waring Dr
Suite 109
Palm Desert, CA 92260-5006
Mailing address
72650 Fred Waring Dr
Suite 109
Palm Desert, CA 92260-5006
Phone (760) 837-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9500 Stockdale Hwy
Ste 109
Bakersfield, CA 93311
Phone (661) 663-6550
9300 Stockdale Hwy
Pasadena, CA 91110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Palm Desert, CA
- NPI 1821027228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457654400000",
"number": "1174949945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72650 FRED WARING DR",
"address_2": "SUITE 109",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922605006",
"telephone_number": "760-837-7200",
"fax_number": "760-837-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72650 FRED WARING DR",
"address_2": "SUITE 109",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922605006",
"telephone_number": "760-837-7200",
"fax_number": "760-837-7201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT HAND AND PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-17",
"last_updated": "2016-03-11",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO/SURGEON",
"authorized_official_telephone_number": "760-837-7200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A60193",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A60193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
- Desert Dental Arts, Inc.
- Desert DME & Supplies Inc
- Desert DME Inc
- Desert Elite Optical LLC
- Desert Eye Associates a Professional Corporation
- Desert Heart Physicians Medical Group, Inc.
- Desert Heart Physicians Medical Group, Inc.
- Desert Home Health Care Inc.
- Desert Hope Healthcare, Inc.
- Desert Hospice and Palliative Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.