Desert Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E38020 Issued in CA

Legal business name

DESERT PODIATRY GROUP

Practice address

69730 Highway 111
Suite 101
Rancho Mirage, CA 92270-2869

Phone

(760) 328-4669

Fax

(760) 328-6719

NPI assigned

Jul 19, 2006

Last updated

Nov 21, 2008By 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. Sheldon Collis, D.P.M.

Title

Partner

Phone

(760) 328-4669

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

• Andrew R Rothstein, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rancho Mirage, CA
  • NPI 1619980455
  Medicare reassignment NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1336168517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69730 HIGHWAY 111",
            "address_2": "SUITE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702869",
            "telephone_number": "760-328-4669",
            "fax_number": "760-328-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69730 HIGHWAY 111",
            "address_2": "SUITE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702869",
            "telephone_number": "760-328-4669",
            "fax_number": "760-328-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "COLLIS",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-328-4669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E21580",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E38020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Center)
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Pain Management Clinic)
• Desert Orthopedic Center, a Medical Group Inc.
• Desert Orthopedic Surgery Center
• Desert Pain Specialists, Inc
• Desert Speech
• Desert Speech Therapy Inc.
• Desert Spine and Neurosurgical Institute, Inc
• Desert Valley OBGYN Inc
• Desert View Homecare LLC

• Foot & Ankle Surgery Podiatrist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.