Addiction Medical Services

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

PA16694 Issued in CA

Legal business name

ADDICTION MEDICAL SERVICES

Practice address

777 E Tahquitz Canyon Way Ste 46
Palm Springs, CA 92262-6784

Phone

(206) 852-8815

Fax

(760) 406-6077

NPI assigned

Jan 16, 2013

Last updated

Jan 23, 2013By 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

Mr. James Datson Herndon, PA-CNPI 1689924581

Title

Director

Phone

(206) 852-8815

Specialties & licenses 1

Addresses

Locations

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.

• James Datson Herndon, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1689924581
  Authorized official Same address or phone

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1316285950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OAKHURST CT",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922239705",
            "telephone_number": "206-852-8815",
            "fax_number": "760-406-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E TAHQUITZ CANYON WAY STE 46",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626784",
            "telephone_number": "206-852-8815",
            "fax_number": "760-406-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DATSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-852-8815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "PA16694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belma Q Adamos, RPH
• James Melvin Adams, M.D.
• Matthew Charles Adams, DO
• Rachel Mackenzie Adams
• Zoila Adams III
• Addiction Therapy PC (Addiction Medicine Consulting)
• Alison Sarah Adler, LMFT, LPCC
• Advanced Sleep Medicine Services, Inc.
• Advanced Women's Healthcare, a Medical Corporation
• Jessica G Afable, M.D

• Medical Specialty Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.