La Quinta Ear Nose & Throat, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G70770 Issued in CA

Legal business name

LA QUINTA EAR NOSE & THROAT, INC.

Practice address

78370 Highway 111 Ste 160
La Quinta, CA 92253-2623

Phone

(760) 771-4242

Fax

(760) 691-2952

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Anthony Nash, M.D.

Title

President / Owner

Phone

(760) 771-4242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1497765424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6119",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922486119",
            "telephone_number": "760-771-4242",
            "fax_number": "760-771-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78370 HIGHWAY 111 STE 160",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532623",
            "telephone_number": "760-771-4242",
            "fax_number": "760-691-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47647 Caleo Bay Dr",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922538854",
            "country_code": "US",
            "telephone_number": "760-771-4242",
            "fax_number": "760-771-4294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA QUINTA EAR NOSE & THROAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "760-771-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G70770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ERIC NASH,MD",
            "identifier": "1538124250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.