Active NPI
Michael Wolfes, CLMT
- Contractor
- Palm Desert, CA
National Provider Identifier
1245308501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 00000000
- Practice address
- 35957 Palomino Way
Palm Desert, CA 92211-2642 - Phone
- (760) 898-9231
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | CA | ||
| Contractor | 171W00000X | 00000000 | CA | Primary |
Addresses
Primary practice location
35957 Palomino Way
Palm Desert, CA 92211-2642
Mailing address
35957 Palomino Way
Palm Desert, CA 92211-2642
Phone (760) 898-9231
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | CA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1245308501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35957 PALOMINO WAY",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922112642",
"telephone_number": "760-898-9231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35957 PALOMINO WAY",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922112642",
"telephone_number": "760-898-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFES",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CLMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2022-04-14",
"certification_date": "2021-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "00000000",
"primary": true
}
],
"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 Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.