Organization Active NPI

Desert Spine and Neurosurgical Institute, Inc

  • Neurological Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1598038937
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
DESERT SPINE AND NEUROSURGICAL INSTITUTE, INC
Practice address
72780 Country Club Dr
Suite A104
Rancho Mirage, CA 92270-4126
Phone
(760) 346-8058
Fax
(760) 834-3780
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Alfred Shen, M.D.
Title
Cfo
Phone
(760) 346-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

72780 Country Club Dr
Suite A104
Rancho Mirage, CA 92270-4126

Mailing address

44489 Town Center Way
Palm Desert, CA 92260-2723
Phone (760) 346-8058

National Provider Directory

National Provider Directory

Locations

44489 Town Center Way
Palm Desert, CA 92260

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1598038937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44489 TOWN CENTER WAY",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602723",
            "telephone_number": "760-346-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE A104",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-346-8058",
            "fax_number": "760-834-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SPINE AND NEUROSURGICAL INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-346-8058",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.