Active NPI
Sandra Bender M.D., a Professional Corp
- Pediatrics Physician
- Palm Desert, CA
National Provider Identifier
1265984223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SANDRA BENDER M.D., A PROFESSIONAL CORP
- Practice address
- 77824 Wildcat Dr
Palm Desert, CA 92211-1134 - Phone
- (708) 769-6581
- Fax
- (708) 874-8284
- NPI assigned
- Oct 25, 2016
- 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. Sandra Ann Bender, MD
- Title
- Owner, Ceo
- Phone
- (708) 769-6581
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
77824 Wildcat Dr
Palm Desert, CA 92211-1134
Mailing address
77824 Wildcat Dr
Palm Desert, CA 92211-1134
Phone (708) 769-6581
National Provider Directory
National Provider DirectoryLocations
77824 Wildcat Dr
Palm Desert, CA 92211
Phone (760) 237-8070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1265984223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77824 WILDCAT DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922111134",
"telephone_number": "708-769-6581",
"fax_number": "708-874-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77824 WILDCAT DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922111134",
"telephone_number": "708-769-6581",
"fax_number": "708-874-8284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA BENDER M.D., A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-25",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "708-769-6581",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"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 Oct 7, 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.