NPIMap

Organization Active NPI

Desert Medical Group LLC

  • Family Medicine Physician
  • Hobbs, NM
National Provider Identifier
1215127683
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99-17 Issued in NM
Legal business name
DESERT MEDICAL GROUP LLC
Practice address
1801 N Dal Paso St
Hobbs, NM 88240-3042
Phone
(575) 393-0511
Fax
(575) 393-0914
NPI assigned
Jul 31, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Carol A Crossland
Title
Office Manager
Phone
(575) 393-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 99-17 NM Primary

Addresses

Primary practice location

1801 N Dal Paso St
Hobbs, NM 88240-3042

Mailing address

1801 N Dal Paso St
Hobbs, NM 88240-3042
Phone (575) 393-0511

Other identifiers 1

IdentifierTypeStateIssuer
83607501MedicaidNM

National Provider Directory

National Provider Directory

Locations

1801 N Dal Paso St
Hobbs, NM 88240
Phone (432) 582-2525

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1215127683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N DAL PASO ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882403042",
            "telephone_number": "575-393-0511",
            "fax_number": "575-393-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N DAL PASO ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882403042",
            "telephone_number": "575-393-0511",
            "fax_number": "575-393-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "CROSSLAND",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-393-0511"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "99-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83607501",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.