Organization Active NPI

Clifford O Brown M.D., Inc

  • Ophthalmology Physician
  • Indio, CA
National Provider Identifier
1265730808
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00A848230 Issued in CA
Legal business name
CLIFFORD O BROWN M.D., INC
Practice address
82013 Dr Carreon Blvd
H
Indio, CA 92201
Phone
(760) 200-9909
Fax
(760) 775-8844
NPI assigned
Mar 7, 2011
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Maria Gutierrez
Title
Medical Billing
Phone
(760) 200-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 00A848230 CA Primary

Addresses

Primary practice location

82013 Dr Carreon Blvd
H
Indio, CA 92201

Mailing address

PO Box 2538
Palm Springs, CA 92263-2538
Phone (760) 200-9909

National Provider Directory

National Provider Directory

Locations

214 W Hobsonway
Blythe, CA 92225
Phone (760) 200-9909

72780 Country Club Dr
Ste C306
Rancho Mirage, CA 92270
Phone (760) 200-9909

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1265730808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2538",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632538",
            "telephone_number": "760-200-9909",
            "fax_number": "760-775-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD",
            "address_2": "H",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-200-9909",
            "fax_number": "760-775-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD O BROWN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "760-200-9909"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00A848230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.