Desert Medical Advances Dma of the Coachella Valley Medical Corporatio

Primary specialty

SpecialistTaxonomy code 174400000X

License

G49422 Issued in CA

Legal business name

DESERT MEDICAL ADVANCES DMA OF THE COACHELLA VALLEY MEDICAL CORPORATIO

Practice address

69730 Highway 111 Ste 101
Rancho Mirage, CA 92270-2873

Phone

(760) 341-9638

Fax

(760) 341-9872

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maria Greenwald, M.D.

Title

Provider

Phone

(760) 341-9638

Specialties & licenses 1

Addresses

Other names 1

• Maria W. Greenwald, M. D. Other name

Electronic endpoints 1

Locations

Practitioners 2

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

• Joann McRae Ball, NP

  • Primary Care Nurse Practitioner
  • Palm Desert, CA
  • NPI 1922634351
  NPD
• Gary I Greenwald, M.D

  • Specialist
  • Palm Desert, CA
  • NPI 1093797151
  NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1558521963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69730 HIGHWAY 111 STE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702873",
            "telephone_number": "760-341-9638",
            "fax_number": "760-341-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69730 HIGHWAY 111 STE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702873",
            "telephone_number": "760-341-9638",
            "fax_number": "760-341-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL ADVANCES DMA OF THE COACHELLA VALLEY MEDICAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "760-341-9638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G49422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing4gg@mail.com",
            "affiliation": "N",
            "address_1": "69730 Highway 111 Ste 101",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922702873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maria W. Greenwald, M. D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Maria W. Greenwald, M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.