Active NPI
Desert Oasis Wellness Inc.
- Pain Medicine Physician
- Colton, CA
National Provider Identifier
1265124218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- DESERT OASIS WELLNESS INC.
- Practice address
- 1850 E Washington St
Colton, CA 92324-4621 - Phone
- (909) 233-7057
- NPI assigned
- May 25, 2023
- Last updated
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Hesseltine, MD
- Title
- President
- Phone
- (909) 233-7057
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1850 E Washington St
Colton, CA 92324-4621
Mailing address
1850 E Washington St
Colton, CA 92324-4621
Phone (909) 233-7057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Colton, CA
- NPI 1467438036
-
- Chiropractor
- Riverside, CA
- NPI 1639203656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1265124218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-233-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-233-7057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT OASIS WELLNESS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "HESSELTINE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-233-7057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.