NPIMap

Organization Active NPI

Desert Medical Group

  • Urgent Care Clinic/Center
  • Indio, CA
National Provider Identifier
1417035239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DESERT MEDICAL GROUP
Practice address
81880 Doctor Carreon Blvd Ste C108
Indio, CA 92201-5586
Phone
(760) 775-9641
Fax
(760) 775-9741
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Catherine Brandon, CPCS
Title
Credentials Manager
Phone
(760) 320-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

81880 Doctor Carreon Blvd Ste C108
Indio, CA 92201-5586

Mailing address

81880 Doctor Carreon Blvd Ste C108
Indio, CA 92201-5586
Phone (760) 775-9641

Other names 1

  • First Choice Immediate Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Medical Group15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417035239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81880 DOCTOR CARREON BLVD STE C108",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015586",
            "telephone_number": "760-775-9641",
            "fax_number": "760-775-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81880 DOCTOR CARREON BLVD STE C108",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015586",
            "telephone_number": "760-775-9641",
            "fax_number": "760-775-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "760-320-4122",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.