Elisa S Roger MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ELISA S ROGER MD

Practice address

1100 N Palm Canyon Drive
Suite 104
Palm Springs, CA 92262

Phone

(760) 327-1188

Fax

(760) 322-2886

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elisa S Rogers, MD

Title

Physician Owner

Phone

(760) 327-1188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225196744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DRIVE",
            "address_2": "SUITE 104",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-327-1188",
            "fax_number": "760-322-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DRIVE",
            "address_2": "SUITE 104",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-327-1188",
            "fax_number": "760-322-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA S ROGER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "760-327-1188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Mirador Medical Plaza Pharmacy Inc (Desert Hospital Outpatient Ambulatory Health)
• El Mirador Medical Plaza Pharmacy Inc (Desert Hospital Outpatient Pharmacy)
• El Mirador Medical Plaza Pharmacy Inc (Desert Hospital Outpatient Pharmacy)
• El Mirador Surgery Center LLC (El Mirador Surgery Center)
• Craig Elg, PHARM.D. BCOP
• Joseph Elisha, MD
• Bailee Ann Ellenz
• Andrew James Elliott, MD MPH
• Joan Elliott, PSYD
• Matthew John Elliott, PA-C

• Pediatrics Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Pediatrics Physician in California

• 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.