NPIMap

Organization Active NPI

Ucr Palm Springs - El Mirador Practice

  • Multi-Specialty Clinic/Center
  • Palm Springs, CA
National Provider Identifier
1255754693
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UCR PALM SPRINGS - EL MIRADOR PRACTICE
Practice address
1180 N Indian Canyon Dr
Suite E425
Palm Springs, CA 92262-4800
Phone
(760) 537-1632
NPI assigned
Jan 21, 2014
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA REGENTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
John A. Heydt, MD
Title
Sr. Assoc. Dean, Clinical Affairs
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr
Suite E425
Palm Springs, CA 92262-4800

Mailing address

PO Box 54779
Los Angeles, CA 90054-0779
Phone (866) 819-6298

National Provider Directory

National Provider Directory
Tax ID family
Arlington Gardens Care Center30 organizations share this tax ID, including this one
Part of
Regents of the University of California

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1255754693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54779",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540779",
            "telephone_number": "866-819-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE E425",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-537-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCR PALM SPRINGS - EL MIRADOR PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA REGENTS",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "HEYDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SR. ASSOC. DEAN, CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.