Individual provider Active NPI

Jose Tovar, N.P.

  • Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1568775641
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP 19501 Issued in CA
Practice address
1100 N Palm Canyon Dr
Suite 211
Palm Springs, CA 92262-4414
Phone
(760) 323-1155
Fax
(760) 325-8629
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP 19501 CA Primary

Addresses

Primary practice location

1100 N Palm Canyon Dr
Suite 211
Palm Springs, CA 92262-4414

Mailing address

PO Box 54130
Los Angeles, CA 90054-0130
Phone (951) 687-3200

Other names 1

  • Mr. Jose Tovarmendez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000378 CA Practitioner - Nurse Practitioner 9234388547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

42362 Bob Hope Dr
Suite 1
Rancho Mirage, CA 92270-4483
Phone (760) 341-4839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 19501CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc CurrentSince Jul 10, 2012 Accepting new patients
Desert Nephrology Past Accepting new patients
Nephrology Associates Medical Group, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

3989 W Stetson Ave
Ste 202
Hemet, CA 92545
Phone (951) 652-3558

1100 N Palm Canyon Dr
Ste 211
Palm Springs, CA 92262
Phone (760) 320-9019

42362 Bob Hope Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 341-4839

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1568775641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540130",
            "telephone_number": "951-687-3200",
            "fax_number": "951-687-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR",
            "address_2": "SUITE 211",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624414",
            "telephone_number": "760-323-1155",
            "fax_number": "760-325-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 19501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "TOVARMENDEZ",
            "prefix": "MR.",
            "credential": "N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.