Organization Active NPI

Unique Pediatric Medical Center Inc.

  • Pediatrics Physician
  • Palm Desert, CA
National Provider Identifier
1558910745
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UNIQUE PEDIATRIC MEDICAL CENTER INC.
Practice address
73733 Fred Waring Dr Ste 204
Palm Desert, CA 92260-2591
Phone
(760) 776-5620
Fax
(760) 776-5626
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Dr. Ernesto Reyes Millan, MDNPI 1063595460
Title
Ceo
Phone
(760) 776-5620

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

73733 Fred Waring Dr Ste 204
Palm Desert, CA 92260-2591

Mailing address

73733 Fred Waring Dr Ste 204
Palm Desert, CA 92260-2591
Phone (760) 776-5620

Other identifiers 1

IdentifierTypeStateIssuer
F91395MedicaidCA

National Provider Directory

National Provider Directory

Locations

73733 Fred Waring Dr
Ste 204
Palm Desert, CA 92260
Phone (760) 674-5897

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1558910745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73733 FRED WARING DR STE 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602591",
            "telephone_number": "760-776-5620",
            "fax_number": "760-776-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73733 FRED WARING DR STE 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602591",
            "telephone_number": "760-776-5620",
            "fax_number": "760-776-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE PEDIATRIC MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "MILLAN",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-776-5620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F91395",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.