NPIMap

Organization Active NPI

JFK Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Indio, CA
National Provider Identifier
1477584993
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
25-50000155 Issued in CA
Legal business name
JFK MEMORIAL HOSPITAL, INC.
Practice address
47-111 Monroe Street
Indio, CA 92201
Phone
(760) 347-6191
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Jimmy Fish
Title
Cfo
Phone
(760) 775-8019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 25-50000155 CA Primary

Addresses

Primary practice location

47-111 Monroe Street
Indio, CA 92201

Mailing address

File 57546
Los Angeles, CA 90074-0001
Phone (619) 680-4100

Other identifiers 8

IdentifierTypeStateIssuer
050534B000000OtherSECTION 1011
HSC30534IMedicaidCA
ZZZA3329ZOtherBS OF CALIFORNIA
0012460001OtherPACIFICARE OF WASHINGTON
611858910OtherAETNA US HEALTHCARE
HSP40534IMedicaidCA
000403OtherHUMANA
001246-0001OtherPACIFICARE OF ARIZONA

Other names 1

  • John F. Kennedy Memorial Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address IND@Direct.Hub1.TenetHealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000185 CA Part A Provider - Hospital 4486752029 Practice locations: Indio, CA

Hospital certification: CCN 050534

Legal name
JFK MEMORIAL HOSPITAL, INC.
Doing business as
JOHN F KENNEDY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 1, 1979
Last certification
Jul 3, 2024
Beds
156
Ownership / control type
Private (for profit)
Most recent change of ownership
May 31, 2001 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jan 17, 2001 in CA
Enrollment address
47-111 Monroe St
Indio, CA 92201-6739
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
John F Kennedy Memorial HospitalCCN 050534
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

23247 Main St
Carson, CA 90745
Phone (310) 429-0839

81719 Doctor Carreon Blvd
Ste A
Indio, CA 92201
Phone (760) 347-0707

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81767 Doctor Carreon Blvd
Ste 100
Indio, CA 92201
Phone (760) 347-1615

81863 Doctor Carreon Blvd
Ste 1
Indio, CA 92201
Phone (760) 775-9161

43576 Washington St
La Quinta, CA 92253

79440 Highway 111
Ste 5
La Quinta, CA 92253

File 57546
Los Angeles, CA 90074

36951 Cook St
Ste 102
Palm Desert, CA 92211
Phone (760) 342-8444

41990F Cook St
Ste 1004
Palm Desert, CA 92211
Phone (760) 341-5570

73555 San Gorgonio Way
Palm Desert, CA 92260
Phone (760) 674-4976

72757 Fred Waring Dr
Ste 1
Palm Desert, CA 92260
Phone (760) 340-5800

77734 Country Club Dr
Ste A2
Palm Desert, CA 92211
Phone (760) 328-4669

74000 Country Club Dr
Ste E4
Palm Desert, CA 92260
Phone (760) 773-3400

35400 Bob Hope Dr
Ste 209
Rancho Mirage, CA 92270
Phone (760) 202-0686

39000 Bob Hope Dr
Ste K208
Rancho Mirage, CA 92270
Phone (760) 773-5350

41750 Rancho Las Palmas Dr
#M3
Rancho Mirage, CA 92270

72047 Dinah Shore Dr
Ste C4
Rancho Mirage, CA 92270
Phone (760) 770-7600

39000 Bob Hope Dr
#202
Rancho Mirage, CA 92270
Phone (760) 346-1788

321 E Romie Ln
Ste A
Salinas, CA 93901
Phone (831) 424-0313

4690 El Cajon Blvd
San Diego, CA 92115
Phone (619) 478-5254

6401 Van Nuys Blvd
Van Nuys, CA 91401
Phone (818) 433-7323

Interoperability endpoints

  • Direct secure messaging: ind@direct.hub1.tenethealth.com

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Faulis Individual Corporate OfficerPresident and Treasurer Jan 30, 2023
W-2 Managing EmployeeCeo of Hospital Jan 30, 2023
Tenet Healthcare Corporation Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 5, 2007 100%
Sharilee Smith Individual Corporate DirectorDirector Mar 1, 2024
Angelo P Pagano Individual Corporate OfficerVice President Jul 1, 2024
Saumya Sutaria Individual OtherChain Home Office Administrator Sep 13, 2019
Health Services Network Hospitals, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 5, 2009 100%
Kristina a Mack Individual Corporate OfficerSecretary Jul 24, 2008
Tenet California Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 5, 2009 100%
Joshua Burkett Individual Corporate OfficerAssistant Treasurer Oct 20, 2024

Facilities with the same owner 91

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 91

Practitioners & affiliated clinicians

Practitioners 123

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

View all 123

Affiliated clinicians 129

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 129

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1477584993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57546",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "619-680-4100",
            "fax_number": "760-775-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-111 MONROE STREET",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFK MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-775-8019"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "25-50000155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "050534B000000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30534I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "ZZZA3329Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE OF WASHINGTON",
            "identifier": "0012460001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "611858910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40534I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE OF ARIZONA",
            "identifier": "001246-0001",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IND@Direct.Hub1.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "47-111 Monroe Street",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "John F. Kennedy Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John F. Kennedy Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.