Organization Active NPI

Assad U Darawal M.D. Inc

Doing business as Assad U Darwal

  • Internal Medicine Physician
  • Indio, CA
National Provider Identifier
1518154087
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A056102 Issued in CA
Legal business name
ASSAD U DARAWAL M.D. INC
Doing business as
Assad U Darwal
Practice address
81893 Dr Carreon Blvd #1
Indio, CA 92201-5592
Phone
(760) 342-8005
Fax
(760) 342-5451
NPI assigned
Sep 28, 2007
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Assad U Darawal, MDNPI 1902877301
Title
Owner
Phone
(760) 342-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A056102 CA Primary

Addresses

Primary practice location

81893 Dr Carreon Blvd #1
Indio, CA 92201-5592

Mailing address

81893 Dr Carreon Blvd
#1
Indio, CA 92201-5592
Phone (760) 342-8005

Other identifiers 1

IdentifierTypeStateIssuer
GR0085630MedicaidCA

Other names 1

  • ASSAD U DARWAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000365 CA Part B Supplier - Clinic/Group Practice 4789847013 Receives reassigned benefits from 1 practitioner
Practice locations: Indio, CA

National Provider Directory

National Provider Directory

Locations

81893 Doctor Carreon Blvd
Ste 1
Indio, CA 92201
Phone (760) 342-8005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1518154087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81893 DR CARREON BLVD",
            "address_2": "#1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015592",
            "telephone_number": "760-342-8005",
            "fax_number": "760-342-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81893 DR CARREON BLVD #1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015592",
            "telephone_number": "760-342-8005",
            "fax_number": "760-342-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSAD U DARAWAL M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "DARAWAL",
        "authorized_official_first_name": "ASSAD",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-342-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A056102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSAD U DARWAL",
            "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 May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.