Individual provider Active NPI

Amir Hodge, NP

  • Nurse Practitioner
  • Cathedral City, CA
National Provider Identifier
1316938814
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP15114 Issued in CA
Practice address
68860 Perez Rd
Cathedral City, CA 92234-7249
Phone
(760) 328-4499
Fax
(760) 320-2725
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP15114 CA Primary

Addresses

Primary practice location

68860 Perez Rd
Cathedral City, CA 92234-7249

Mailing address

68860 Perez Rd
Cathedral City, CA 92234-7249
Phone (760) 328-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020003035 TX Practitioner - Nurse Practitioner 8820041858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP15114CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Sep 1, 2021 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Sep 1, 2021 Accepting new patients
Desert Oaisis Healthcare PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group-Mirage Outpatient Center PastSince Jan 1, 1990 Accepting new patients
Desert Oasis Healthcare PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group-Desert Specialty Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group, Inc. PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group, Inc PastSince Jan 1, 1990 Accepting new patients
Desert Oasis Healthcare Medical Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group/Living and Aging Well PastSince Jan 1, 1990 Accepting new patients
Desert Medical Group, Inc PastSince Jan 1, 1990 Accepting new patients

Locations

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316938814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68860 PEREZ RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347249",
            "telephone_number": "760-328-4499",
            "fax_number": "760-320-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68860 PEREZ RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347249",
            "telephone_number": "760-328-4499",
            "fax_number": "760-320-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "AMIR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP15114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.