NPIMap

Organization Active NPI

Desert Heart Physicians Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Palm Desert, CA
National Provider Identifier
1316062128
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C40464 Issued in CA
Legal business name
DESERT HEART PHYSICIANS MEDICAL GROUP, INC.
Practice address
41990 Cook St
BLDG. G, Suite 601
Palm Desert, CA 92211-6100
Phone
(760) 360-4446
Fax
(760) 360-4436
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Dr. Narasimha P Rao, M.D.NPI 1992789861
Title
President
Phone
(760) 325-1203

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X C40464 CA Primary

Addresses

Primary practice location

41990 Cook St
BLDG. G, Suite 601
Palm Desert, CA 92211-6100

Mailing address

1180 N Indian Canyon Dr
Suite E319
Palm Springs, CA 92262-4800
Phone (760) 325-1203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000548 CA Part B Supplier - Clinic/Group Practice 3476449414 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Desert, CA; Palm Springs, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

41120 Washington St
Ste 220
Bermuda Dunes, CA 92203
Phone (760) 360-4446

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1316062128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE E319",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-325-1203",
            "fax_number": "760-325-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "address_2": "BLDG. G, SUITE 601",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-360-4446",
            "fax_number": "760-360-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HEART PHYSICIANS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "NARASIMHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-325-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C40464",
            "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 Feb 15, 2010; 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.

Verify at the official NPI Registry.