NPIMap

Organization Active NPI

Eisenhower Medical Center

Doing business as Eisenhower Health

  • General Acute Care Hospital
  • Palm Springs, CA
National Provider Identifier
1346723194
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
861 Issued in CA
Legal business name
EISENHOWER MEDICAL CENTER
Doing business as
Eisenhower Health
Practice address
1401 North Palm Canyon Drive
Suite #202
Palm Springs, CA 92262
Phone
(760) 837-8366
Fax
(760) 837-8367
NPI assigned
Sep 7, 2018
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
EISENHOWER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Mr. G. Aubrey Serfling
Title
President and Ceo
Phone
(760) 340-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 861 CA Primary

Addresses

Primary practice location

1401 North Palm Canyon Drive
Suite #202
Palm Springs, CA 92262

Mailing address

1401 North Palm Canyon Drive
Suite #202
Palm Springs, CA 92262
Phone (760) 837-8366

Other names 1

  • Eisenhower Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000102 CA Part B Supplier - Clinic/Group Practice 5890689657 Receives reassigned benefits from 618 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Springs, CA; Rancho Mirage, CA; Yucca Valley, CA; La Quinta, CA; Cathedral City, CA; Indio, CA; Palm Desert, CA

Other NPIs on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory
Part of
Labtechniques Kiewit 10

Locations

1401 N Palm Canyon Dr
Ste 202
Palm Springs, CA 92262
Phone (760) 837-8366

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1346723194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NORTH PALM CANYON DRIVE",
            "address_2": "SUITE #202",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-837-8366",
            "fax_number": "760-837-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NORTH PALM CANYON DRIVE",
            "address_2": "SUITE #202",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-837-8366",
            "fax_number": "760-837-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EISENHOWER MEDICAL CENTER",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "SERFLING",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "760-340-3911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenhower Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.