Organization Active NPI

Joan L Warren, Medical Corporation

Doing business as Vein Institute of the Desert

  • Specialist
  • Palm Desert, CA
National Provider Identifier
1215227053
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G86215 Issued in CA
Legal business name
JOAN L WARREN, MEDICAL CORPORATION
Doing business as
Vein Institute of the Desert
Practice address
74361 Highway 111 Ste 5
Palm Desert, CA 92260-4125
Phone
(760) 610-5573
Fax
(760) 610-5601
NPI assigned
Apr 13, 2011
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Joan Leigh Warren, MDNPI 1972559102
Title
Medical Director
Phone
(760) 360-5351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G86215 CA Primary

Addresses

Primary practice location

74361 Highway 111 Ste 5
Palm Desert, CA 92260-4125

Mailing address

74361 Highway 111 Ste 5
Palm Desert, CA 92260-4125
Phone (760) 610-5573

Other identifiers 1

IdentifierTypeStateIssuer
1972559102OtherCANPI

Other names 1

  • Vein Institute of the Desert Doing business as

National Provider Directory

National Provider Directory

Locations

44300 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 340-2200

74361 Highway 111
Ste 5
Palm Desert, CA 92260
Phone (760) 610-5573

Practitioners & affiliated clinicians

Practitioners 1

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": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1215227053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74361 HIGHWAY 111 STE 5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604125",
            "telephone_number": "760-610-5573",
            "fax_number": "760-610-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74361 HIGHWAY 111 STE 5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604125",
            "telephone_number": "760-610-5573",
            "fax_number": "760-610-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN L WARREN, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-360-5351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G86215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972559102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Institute of the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.