Organization Active NPI

Sandra Bender M.D., a Professional Corp

  • Pediatrics Physician
  • Palm Desert, CA
National Provider Identifier
1265984223
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Oct 7, 2024

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)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PS0010X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.