Active NPI
Desert Spine and Neurosurgical Institute, Inc
- Neurological Surgery Physician
- Rancho Mirage, CA
National Provider Identifier
1598038937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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 DirectoryLocations
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.