Desert Neurosurgical Associates

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

DESERT NEUROSURGICAL ASSOCIATES

Practice address

72780 Country Club Dr Ste A104
Rancho Mirage, CA 92270-4150

Phone

(760) 895-0639

Fax

(760) 423-6339

NPI assigned

Mar 6, 2024

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfred C Shen, MDNPI 1598879595

Title

President

Phone

(760) 895-0639

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Alfred C. Shen, M.D.

  • Neurological Surgery Physician
  • Rancho Mirage, CA
  • NPI 1598879595
  Authorized official Same address or phone

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1265290175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700715",
            "telephone_number": "760-895-0639",
            "fax_number": "760-423-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE A104",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-895-0639",
            "fax_number": "760-423-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT NEUROSURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-895-0639",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Medical Advances Dma of the Coachella Valley Medical Corporatio
• Desert Medical Group-Desert Specialty Group (Desert Oasis Healthcare)
• Desert Medical Group-Mirage Outpatient Center (Desert Oasis Healthcare)
• Desert Medical Rejuvenation, Inc.
• Desert Neurology Medical Group
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Center)
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Pain Management Clinic)
• Desert Orthopedic Center, a Medical Group Inc.
• Desert Orthopedic Surgery Center
• Desert Pain Specialists, Inc

• Neurological Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.