Individual provider Active NPI

William I Christensen, MD

  • Internal Medicine Physician
  • Cathedral City, CA
National Provider Identifier
1205920691
Registry record updated Aug 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G22562 Issued in CA
Practice address
67780 E Palm Canyon Dr
Cathedral City, CA 92234-5441
Phone
(760) 328-5679
Fax
(760) 328-6497
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G22562 CA Primary

Addresses

Primary practice location

67780 E Palm Canyon Dr
Cathedral City, CA 92234-5441

Mailing address

67780 E Palm Canyon Dr
Cathedral City, CA 92234-5441
Phone (760) 328-5679

Other identifiers 1

IdentifierTypeStateIssuer
13433MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G22562CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251504000000",
    "number": "1205920691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67780 E PALM CANYON DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345441",
            "telephone_number": "760-328-5679",
            "fax_number": "760-328-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67780 E PALM CANYON DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345441",
            "telephone_number": "760-328-5679",
            "fax_number": "760-328-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "WILLIAM",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G22562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13433",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; 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.