Active NPI
Erik Jan Williams, MD
- Ophthalmology Physician
- Palm Desert, CA
National Provider Identifier
1568540417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A23475
- Practice address
- 36921 Cook St
Suite #103
Palm Desert, CA 92211-6070 - Phone
- (760) 568-3111
- Fax
- (760) 836-1151
- NPI assigned
- Nov 1, 2006
- Last updated
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A23475 | CA | Primary |
Addresses
Primary practice location
36921 Cook St
Suite #103
Palm Desert, CA 92211-6070
Mailing address
36921 Cook St
Suite #103
Palm Desert, CA 92211-6070
Phone (760) 568-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A23475 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dung Q Le MD a Professional Corporation | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Desert Eye and Laser
- Ophthalmology Physician
- Palm Desert, CA
- NPI 1356520241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1568540417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36921 COOK ST",
"address_2": "SUITE #103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116070",
"telephone_number": "760-568-3111",
"fax_number": "760-836-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36921 COOK ST",
"address_2": "SUITE #103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116070",
"telephone_number": "760-568-3111",
"fax_number": "760-836-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERIK",
"middle_name": "JAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A23475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
- William M Kelly M.D., Inc (Health Scan Imaging, Truly Open MRI, Open MRI of Loma Linda)
- William M. Kelly M.D., Inc. (Health Scan Imaging, Truly Open MRI, and Open MRI of Loma Linda)
- William M. Kelly M.D., Inc. (Health Scan Imaging)
- William M. Kelly M.D., Inc. (Truly Open MRI)
- Christine Marie Williams
- Joanne S Williams, MSW LCSW
- Judith M Williams, LMFT
- Holly C Willow, RN
- Sheila Rabbani Wilson, MD
- Marion Ray Windham, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.