NPIMap

Organization Active NPI

Desert Eye Associates a Professional Corporation

  • Ophthalmology Physician
  • Palm Desert, CA
National Provider Identifier
1235654344
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DESERT EYE ASSOCIATES A PROFESSIONAL CORPORATION
Practice address
37029 Cook St Ste 105
Palm Desert, CA 92211-2968
Phone
(760) 342-6900
NPI assigned
Aug 9, 2017
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Xu Shao Huang, ODNPI 1851495550
Title
Manager
Phone
(760) 342-6900

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X

Addresses

Primary practice location

37029 Cook St Ste 105
Palm Desert, CA 92211-2968

Mailing address

79710 Highway 111 Ste 101
La Quinta, CA 92253-6516

Other practice location 1

79710 Highway 111 Ste 101
LA Quinta, CA 92253-6516
Phone (760) 342-6900

Other practice location 2

79710 Highway 111 Ste 101
LA Quinta, CA 92253-6516
Phone (760) 342-6900

Other practice location 3

37029 Cook St Ste 105
Palm Desert, CA 92211-2968
Phone (760) 342-6900

Other practice location 4

57019 Yucca Trl Ste D
Yucca Valley, CA 92284-7909
Phone (760) 369-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010000071 CA Part B Supplier - Clinic/Group Practice 4880969351 Receives reassigned benefits from 9 practitioners
Practice locations: Palm Desert, CA; Yucca Valley, CA

National Provider Directory

National Provider Directory

Locations

37029 Cook St
Palm Desert, CA 92211

Practitioners & affiliated clinicians

Practitioners 9

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": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1235654344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79710 HIGHWAY 111 STE 101",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37029 COOK ST STE 105",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112968",
            "telephone_number": "760-342-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79710 Highway 111 Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922536516",
            "country_code": "US",
            "telephone_number": "760-342-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79710 Highway 111 Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922536516",
            "country_code": "US",
            "telephone_number": "760-342-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37029 Cook St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922112968",
            "country_code": "US",
            "telephone_number": "760-342-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57019 Yucca Trl Ste D",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922847909",
            "country_code": "US",
            "telephone_number": "760-369-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT EYE ASSOCIATES A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "XU SHAO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-342-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.