Organization Active NPI

Desert Nephrology

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1215026653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A50964 Issued in CA
Legal business name
DESERT NEPHROLOGY
Practice address
1180 N Indian Canyon Dr
Suite 303
Palm Springs, CA 92262-4800
Phone
(760) 416-4819
Fax
(760) 416-4829
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Marc Alderman, M.D.NPI 1467419523
Title
Medical Physician
Phone
(760) 416-4819

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A50964 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr
Suite 303
Palm Springs, CA 92262-4800

Mailing address

1180 N Indian Canyon Dr
Suite 303
Palm Springs, CA 92262-4800
Phone (760) 416-4819

Other identifiers 1

IdentifierTypeStateIssuer
00A50964MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Desert Nephrology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36955 Cook St
Ste 102
Palm Desert, CA 92211
Phone (760) 341-4839

255 N El Cielo Rd
Ste C326
Palm Springs, CA 92262
Phone (760) 969-6535

39000 Bob Hope Dr
Ste P304
Rancho Mirage, CA 92270

69730 Highway 111
Ste 107
Rancho Mirage, CA 92270
Phone (760) 328-6575

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215026653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE 303",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4819",
            "fax_number": "760-416-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE 303",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4819",
            "fax_number": "760-416-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALDERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "760-416-4819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A50964",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.