NPIMap

Organization Active NPI

Martha'S Village & Kitchen

  • Specialist
  • Indio, CA
National Provider Identifier
1578823969
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AN1395602 Issued in CA
Legal business name
MARTHA'S VILLAGE & KITCHEN
Practice address
83791 Date Ave
Indio, CA 92201-4737
Phone
(760) 347-4741
Fax
(760) 342-2294
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Marybeth Smith
Title
RN
Phone
(760) 347-4741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AN1395602 CA Primary

Addresses

Primary practice location

83791 Date Ave
Indio, CA 92201-4737

Mailing address

83791 Date Ave
Indio, CA 92201-4737
Phone (760) 347-4741

National Provider Directory

National Provider Directory
Tax ID family
Father Joe'S Villages2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1578823969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83791 DATE AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014737",
            "telephone_number": "760-347-4741",
            "fax_number": "760-342-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83791 DATE AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014737",
            "telephone_number": "760-347-4741",
            "fax_number": "760-342-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S VILLAGE & KITCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "760-347-4741"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "AN1395602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.