NPIMap

Organization Active NPI

Concept Medical Associates

  • Primary Care Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1427292721
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A86478 Issued in CA
Legal business name
CONCEPT MEDICAL ASSOCIATES
Practice address
35400 Bob Hope Dr
Suite # 209
Rancho Mirage, CA 92270-1772
Phone
(760) 699-7117
Fax
(760) 699-7750
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Padma Khanchustambham, MD
Title
Physician/Director
Phone
(760) 464-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A86478 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr
Suite # 209
Rancho Mirage, CA 92270-1772

Mailing address

36101 Bob Hope Dr
Ste. E-5 #117
Rancho Mirage, CA 92270-2001
Phone (760) 217-0126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1427292721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR",
            "address_2": "STE. E-5 #117",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-217-0126",
            "fax_number": "760-699-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE # 209",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-699-7117",
            "fax_number": "760-699-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "KHANCHUSTAMBHAM",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "760-464-2166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A86478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.