Active NPI
Erik Grove Palmer, DO
- Family Medicine Physician
- Palm Springs, CA
National Provider Identifier
1184683229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A7732
- Practice address
- 555 E Tachevah Dr
Suite 2W-203
Palm Springs, CA 92262-5750 - Phone
- (760) 323-4272
- Fax
- (760) 323-8597
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 20A7732 | CA | Primary |
Addresses
Primary practice location
555 E Tachevah Dr
Suite 2W-203
Palm Springs, CA 92262-5750
Mailing address
555 E Tachevah Dr
Suite 2W-203
Palm Springs, CA 92262-5750
Phone (760) 323-4272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A77320 | Other | BLUE SHIELD | |
| 020A77320 | Medicaid | CA | |
| 7555175 | Other | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 E Tachevah Dr
Suite 2W 203
Palm Springs, CA 92262-4418
Phone (760) 323-4272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7732 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- erik.palmer.p78@direct.mydohc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1770648404
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1184683229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR",
"address_2": "SUITE 2W-203",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625750",
"telephone_number": "760-323-4272",
"fax_number": "760-323-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR",
"address_2": "SUITE 2W-203",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625750",
"telephone_number": "760-323-4272",
"fax_number": "760-323-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "ERIK",
"middle_name": "GROVE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A7732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "020A77320",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020A77320",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7555175",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.