Organization Active NPI

First Desert Obstetrics & Gynecology Medical Associates, Inc.

  • Obstetrics & Gynecology Physician
  • Indio, CA
National Provider Identifier
1184792590
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FIRST DESERT OBSTETRICS & GYNECOLOGY MEDICAL ASSOCIATES, INC.
Practice address
General Delivery
Indio, CA 92201-9999
Phone
(760) 000-0000
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
David A. Coy
Title
Custodian of Records
Phone
(760) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

General Delivery
Indio, CA 92201-9999

Mailing address

PO Box 10200
Indio, CA 92202-2519

Other identifiers 1

IdentifierTypeStateIssuer
GR0086260MedicaidCA

National Provider Directory

National Provider Directory

Locations

81767 Doctor Carreon Blvd
Indio, CA 92201

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1184792590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10200",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922022519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENERAL DELIVERY",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019999",
            "telephone_number": "760-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DESERT OBSTETRICS & GYNECOLOGY MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CUSTODIAN OF RECORDS",
        "authorized_official_telephone_number": "760-000-0000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.