Desert Ophthalmology Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G077969 Issued in CA

Legal business name

DESERT OPHTHALMOLOGY MEDICAL CORPORATION

Practice address

1180 N Indian Canyon Dr
Suite W100
Palm Springs, CA 92262-4834

Phone

(760) 320-8497

Fax

(760) 320-5444

NPI assigned

Nov 28, 2006

Last updated

Jul 17, 2025By 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

Dr. Wallace F Goldban, MDNPI 1780872671

Title

Ophthalmology

Phone

(760) 320-8497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Wallace Franklin Goldban, M.D.

  • Ophthalmology Physician
  • Palm Springs, CA
  • NPI 1780872671

  O20100930040555

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Desert Ophthalmology Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Desert Ophthalmology Medical Corporation

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1699392506
  NPD tax ID

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.

• Wallace Franklin Goldban, M.D.

  • Ophthalmology Physician
  • Palm Springs, CA
  • NPI 1780872671
  Medicare reassignment Care Compare group Authorized official
• John Winston Duggan Jr., M.D., M.S.

  • Specialist
  • San Jose, CA
  • NPI 1851313514
  Medicare reassignment Care Compare group NPD
• Moises Enghelberg, D.O.

  • Ophthalmology Physician
  • Agoura Hills, CA
  • NPI 1730570896
  Medicare reassignment Care Compare group NPD
• Michael Rauser, M.D.

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1992737498
  Medicare reassignment Care Compare group NPD
• Loretta L De Koster, O.D.

  • Optometrist
  • Elmwood Park, IL
  • NPI 1316028723

  CA

  Medicare reassignment Care Compare group NPD
• Zahra Ghiasi, MD

  • Ophthalmology Physician
  • Irvine, CA
  • NPI 1669520490
  Medicare reassignment NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1386710564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E130",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-320-8497",
            "fax_number": "760-320-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE W100",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624834",
            "telephone_number": "760-320-8497",
            "fax_number": "760-320-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT OPHTHALMOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "GOLDBAN",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPHTHALMOLOGY",
        "authorized_official_telephone_number": "760-320-8497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G077969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Neonatal Medical Group
• Desert Nephrology
• Desert Nephrology
• Desert Oasis Healthcare (Living and Aging Well)
• Desert Oasis Healthcare Medical Group
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Center)
• Desert Orthopedic Trauma Service
• Desert Pain Care Medicine Group Inc
• Desert Pathology Medical Group, Inc.
• Desert Pet Imaging, LLC

• Ophthalmology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.