Matilde Parente, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G51987 Issued in CA

Practice address

74923 US Highway 111
PMB 172
Indian Wells, CA 92210-7134

Phone

(760) 285-1022

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1518229954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74923 US HIGHWAY 111",
            "address_2": "PMB 172",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74923 US HIGHWAY 111",
            "address_2": "PMB 172",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107134",
            "telephone_number": "760-285-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENTE",
        "first_name": "MATILDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G51987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Norman, NP-C
• Brigid Norton, M.D.
• Richard Vandyke Packard, O.D.
• Laura G Padron, APN
• Palm Springs Recovery Treatment Center (Mind and Body Recovery)
• Ronald Paul Portnoff, MD
• Vicki Portnoff, M.D.
• Phillip Oliver Richards, M.D.
• Right Hear Palm Springs (Better Hearing Systems)
• Rachelle Eileen Roberts, LMFT

• Anatomic Pathology & Clinical Pathology Physician in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.