Palm Valley Surgical Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PALM VALLEY SURGICAL CENTER, INC

Practice address

72650 Fred Waring Dr Ste 103
Palm Desert, CA 92260-5007

Phone

(760) 810-7587

Fax

(760) 810-7593

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Diane Michelle Soto

Title

Billing Manager

Phone

(760) 375-3974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Palm Valley Surgical Center IncCCN 55C0001100

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Urologic Institute of the High Desert Inc.

  • Urology Physician
  • Apple Valley, CA
  • NPI 1376867333

  Member Of

  NPD member

Practitioners 1

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

• Pedram Ilbeigi, D.O.

  • Urology Physician
  • Apple Valley, CA
  • NPI 1609827336
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1316440811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD PMB 397",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-810-7587",
            "fax_number": "760-810-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605007",
            "telephone_number": "760-810-7587",
            "fax_number": "760-810-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "760-375-3974"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Desert Physical Therapy, Inc.
• Palm Desert Psychiatry Inc
• Palm Desert Recovery Center, Inc.
• Palm Desert Surgery Center, a Medical Corporation
• Palm Springs Home Health Services Inc.
• Palm Valley Virtual Care LLC
• Palmera Home Health Services LLC
• Molly Kathryn Paradis, OTR/L
• Christina Paredes
• Cathy Parker, PSYD

• Ambulatory Surgical Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.