Individual provider Active NPI

Erik Grove Palmer, DO

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1184683229
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7732 Issued in CA
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

Updated by the provider on Apr 1, 2009

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 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

IdentifierTypeStateIssuer
020A77320OtherBLUE SHIELD
020A77320MedicaidCA
7555175OtherAETNA

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
I20090406000453 CA Practitioner - Family Practice 6800833831 Reassigns benefits to 1 organization

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
Erik G. Palmer, D.O., a Medical CorpGroup PAC ID 0648213736, 2 clinicians

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

LicenseStateTypeSpecialty
20A7732CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services PastSince Feb 16, 2001 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.