Individual provider Active NPI

Irisa Claire Aligada, AGPCNP

  • Nurse Practitioner
  • Indio, CA
National Provider Identifier
1386403442
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025771 Issued in CA
Practice address
81719 Dr Carreon Blvd
Indio, CA 92201-0600
Phone
(760) 347-0707
NPI assigned
Mar 18, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025771 CA Primary

Addresses

Primary practice location

81719 Dr Carreon Blvd
Indio, CA 92201-0600

Mailing address

78804 La Rosa Way
Palm Desert, CA 92211-3814
Phone (917) 977-1548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003686 CA Practitioner - Nurse Practitioner 3779021522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Comprehensive Medical Group IncGroup PAC ID 4587601786, 4 clinicians

Practice addresses (Care Compare)

81719 Dr Carreon Blvd
Suite a
Indio, CA 92201-5518
Phone (760) 347-0707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025771CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Comprehensive Medical Group Inc CurrentSince Jun 3, 2024 Accepting new patients
Chandrashekar Medical Corporation PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1386403442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78804 LA ROSA WAY",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922113814",
            "telephone_number": "917-977-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81719 DR CARREON BLVD",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010600",
            "telephone_number": "760-347-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIGADA",
        "first_name": "IRISA CLAIRE",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.