NPIMap

Organization Active NPI

Go Healthcare, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Palm Desert, CA
National Provider Identifier
1588927438
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GO HEALTHCARE, INC.
Practice address
72880 Fred Waring Dr
Suite D18
Palm Desert, CA 92260-9373
Phone
(760) 346-4698
Fax
(760) 346-5784
NPI assigned
Jun 15, 2012
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Jeffrey V Stansberry, DCNPI 1962521179
Title
Coo
Phone
(760) 346-4698

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
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

72880 Fred Waring Dr
Suite D18
Palm Desert, CA 92260-9373

Mailing address

72880 Fred Waring Dr
Suite D18
Palm Desert, CA 92260-9373
Phone (760) 346-4698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000306 CA Part B Supplier - Clinic/Group Practice 0840456315 Receives reassigned benefits from 7 practitioners
Practice locations: Palm Desert, CA; Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

72880 Fred Waring Dr
Ste D18
Palm Desert, CA 92260
Phone (760) 346-4698

71511 Highway 111
Ste A
Rancho Mirage, CA 92270
Phone (760) 340-2600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1588927438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72880 FRED WARING DR",
            "address_2": "SUITE D18",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609373",
            "telephone_number": "760-346-4698",
            "fax_number": "760-346-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72880 FRED WARING DR",
            "address_2": "SUITE D18",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609373",
            "telephone_number": "760-346-4698",
            "fax_number": "760-346-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "STANSBERRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "760-346-4698",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.