Kidney Institute of the Desert LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEY INSTITUTE OF THE DESERT LLC

Practice address

81715 Dr Carreon Blvd
Ste B2
Indio, CA 92201

Phone

(760) 347-8181

Fax

(760) 775-2899

NPI assigned

Oct 26, 2006

Last updated

Apr 13, 2021By 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

Jambur Eriah Chandrashekar, MDNPI 1013098557

Title

Administrator

Phone

(760) 347-8181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Jambur Eriah Chandrashekar, M.D.

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1013098557
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1366527483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81715 DR CARREON BLVD",
            "address_2": "STE B2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-8181",
            "fax_number": "760-775-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81715 DR CARREON BLVD",
            "address_2": "STE B2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-8181",
            "fax_number": "760-775-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY INSTITUTE OF THE DESERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "CHANDRASHEKAR",
        "authorized_official_first_name": "JAMBUR",
        "authorized_official_middle_name": "ERIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-347-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lesley Kaufman, RADT
• David Anthony Keesee
• Cody Kennedy, CADC-II, ICADC
• Dilia Kepley
• Roya Khodaie
• Kimberly Killian, LVN
• Esther Kim
• Evelyn Sungmin Kim, PHARMD
• Hyun Il Kim
• Jessica Jeehyun Kim

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indio, CA
• Providers in Indio, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.