Individual provider Active NPI

April Susan Ethridge, P.A.

  • Medical Physician Assistant
  • Rancho Mirage, CA
National Provider Identifier
1225064983
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13386 Issued in CA
Practice address
72785 Frank Sinatra Dr Ste 100
Rancho Mirage, CA 92270-3207
Phone
(760) 969-5900
Fax
(760) 969-5911
NPI assigned
Jun 24, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 13386 CA Primary

Addresses

Primary practice location

72785 Frank Sinatra Dr Ste 100
Rancho Mirage, CA 92270-3207

Mailing address

2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000643 CA Practitioner - Physician Assistant 8729169685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natalie Driessen MD IncGroup PAC ID 0446481360, 10 clinicians

Practice addresses (Care Compare)

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13386CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Nov 15, 2002 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

340 S Farrell Dr
Ste A205
Palm Springs, CA 92262
Phone (760) 325-5588

72785 Frank Sinatra Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 776-8637

72785 Frank Sinatra Dr
Ste 101
Rancho Mirage, CA 92270
Phone (760) 776-8637

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225064983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72785 FRANK SINATRA DR STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703207",
            "telephone_number": "760-969-5900",
            "fax_number": "760-969-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "APRIL",
        "middle_name": "SUSAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "13386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.