Active NPI
John George Desantis, D.O.
- Orthopaedic Surgery Physician
- Rancho Mirage, CA
National Provider Identifier
1245205137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20A 10304
- Practice address
- 39000 Bob Hope Dr
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221 - Phone
- (760) 568-2684
- Fax
- (760) 341-5832
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20A 10304 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221
Mailing address
PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 568-2684
Other practice location 1
45280 Seeley Dr., FL 2
La Quinta, CA 92253-6834
Phone (760) 568-2684
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4127171 | Other | AETNA | |
| 5440013 | Other | BLUE CARE NETWORK | |
| 2054400135 | Other | BCBS OF MICHIGAN | |
| C2477 | Other | MCARE | |
| D60760 | Other | HEALTH ALLIANCE PLAN/HAP | |
| 200036404 | Other | RAILROAD MEDICARE | |
| 2054400135 | Other | HEALTH PLUS | |
| 20A 10304 | Other | CA | CA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdesantis12130@edirect.emc.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 10304 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knee and Orthopaedic Center of Lapeer PC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- jdesantis12130@edirect.emc.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lapeer, MI
- NPI 1700839271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1245205137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1730",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701058",
"telephone_number": "760-568-2684",
"fax_number": "760-341-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "HARRY & DIANE RINKER BUILDING",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-568-2684",
"fax_number": "760-341-5832"
}
],
"practiceLocations": [
{
"address_1": "45280 Seeley Dr., FL 2",
"address_purpose": "LOCATION",
"city": "La Quinta",
"state": "CA",
"postal_code": "922536834",
"country_code": "US",
"telephone_number": "760-568-2684",
"fax_number": "760-341-5832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESANTIS",
"first_name": "JOHN",
"middle_name": "GEORGE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A 10304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4127171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "5440013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "2054400135",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C2477",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN/HAP",
"identifier": "D60760",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200036404",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "2054400135",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "20A 10304",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdesantis12130@edirect.emc.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "45280 Seeley Dr., FL 2",
"city": "La Quinta",
"state": "CA",
"country_code": "US",
"postal_code": "922536834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.