Individual provider Active NPI

Blessing Fadaka, FNP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1508391624
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029208 Issued in CA
Practice address
72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270-4150
Phone
(760) 834-7905
Fax
(760) 834-7901
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029208 CA Primary

Addresses

Primary practice location

72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270-4150

Mailing address

72780 Country Club Dr Ste 205
Rancho Mirage, CA 92270-4150
Phone (760) 834-7905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719000546 NY Practitioner - Nurse Practitioner 2466709670 Reassigns benefits to 1 organization
I20240715001201 CA Practitioner - Nurse Practitioner 2466709670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

415 S Palm Canyon Dr
Palm Springs, CA 92262-7303
Phone (760) 773-4560

72780 Country Club Dr
Rancho Mirage, CA 92270-4150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Eisenhower Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Century Medical & Dental Center Inc CurrentSince Sep 1, 2022 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

415 S Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 346-7655

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

72780 Country Club Dr
Ste 205
Rancho Mirage, CA 92270
Phone (760) 834-7900

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

Interoperability endpoints

  • Direct secure messaging: blessingfadaka@mai.allscriptsdirect.net
  • Direct secure messaging: bfadaka131364@edirect.emc.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1508391624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 205",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-834-7905",
            "fax_number": "760-834-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 205",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-834-7905",
            "fax_number": "760-834-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADAKA",
        "first_name": "BLESSING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.