Will Family Medical Group, a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A136246 Issued in CA

Legal business name

WILL FAMILY MEDICAL GROUP, A PROFESSIONAL CORPORATION

Practice address

42575 Washington St
Palm Desert, CA 92211-8850

Phone

(760) 360-0333

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Michael Lawrence Will, MDNPI 1073876090

Title

Owner

Phone

(989) 466-7094

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Michael Lawrence Will, MD

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1073876090
  Medicare reassignment Care Compare group NPD Authorized official
• Frank T Kerrigan, DO

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1730155730
  Medicare reassignment Care Compare group NPD
• Dzenan Lulic, M.D.

  • General Practice Physician
  • Murrieta, CA
  • NPI 1356503791
  Medicare reassignment Care Compare group NPD
• Lawrence A Mora, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1205851615
  Medicare reassignment Care Compare group NPD
• Daniela Agnew, PA-C

  • Medical Physician Assistant
  • Palm Desert, CA
  • NPI 1700274354
  Medicare reassignment
• Michael Lewis Larson, P.A.

  • Physician Assistant
  • Palm Desert, CA
  • NPI 1710905195
  Medicare reassignment

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1356875157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42575 WASHINGTON ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118850",
            "telephone_number": "760-360-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42575 WASHINGTON ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118850",
            "telephone_number": "760-360-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL FAMILY MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "WILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-466-7094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A136246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A136246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Coast Surgery Inc
• Matthew Wettlaufer, PH.D
• Natalie M Whang, DDS
• Elizabeth Whittet, OTR/L
• Kelsey Lynne Wickerham
• Michael Lawrence Will, MD
• William M Kelly M.D., Inc (Health Scan Imaging, Truly Open MRI, Open MRI of Loma Linda)
• William M. Kelly M.D., Inc. (Health Scan Imaging, Truly Open MRI, and Open MRI of Loma Linda)
• William M. Kelly M.D., Inc. (Health Scan Imaging)
• William M. Kelly M.D., Inc. (Truly Open MRI)

• Family Medicine Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.