Individual provider Active NPI

Erik Jan Williams, MD

  • Ophthalmology Physician
  • Palm Desert, CA
National Provider Identifier
1568540417
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A23475 Issued in CA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A23475CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dung Q Le MD a Professional Corporation Ophthalmology PastSince Jul 11, 2007 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.

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

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.

Verify at the official NPI Registry.