NPIMap

Organization Active NPI

Maria Remedios R. Gopez, MD., Inc.

  • Primary Care Clinic/Center
  • Indio, CA
National Provider Identifier
1356303903
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A731040 Issued in CA
Legal business name
MARIA REMEDIOS R. GOPEZ, MD., INC.
Practice address
81767 Doctor Carreon Blvd
Suite 100
Indio, CA 92201-5597
Phone
(760) 347-1615
Fax
(760) 347-1635
NPI assigned
Apr 6, 2006
Last updated
Jun 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Dr. Maria Remedios R Gopez, MDNPI 1326058348
Title
President / Ceo
Phone
(760) 347-1615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A731040 CA Primary

Addresses

Primary practice location

81767 Doctor Carreon Blvd
Suite 100
Indio, CA 92201-5597

Mailing address

81767 Doctor Carreon Blvd
Suite 100
Indio, CA 92201-5597
Phone (760) 347-1615

Other identifiers 1

IdentifierTypeStateIssuer
00A731040MedicaidCA

National Provider Directory

National Provider Directory

Locations

81767 Doctor Carreon Blvd
Ste 100
Indio, CA 92201
Phone (760) 347-1615

Practitioners & affiliated clinicians

Practitioners 2

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1356303903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DOCTOR CARREON BLVD",
            "address_2": "SUITE 100",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015597",
            "telephone_number": "760-347-1615",
            "fax_number": "760-347-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81767 DOCTOR CARREON BLVD",
            "address_2": "SUITE 100",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015597",
            "telephone_number": "760-347-1615",
            "fax_number": "760-347-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA REMEDIOS R. GOPEZ, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "GOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "REMEDIOS R",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "760-347-1615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A731040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A731040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.