A and D at Cortez LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

336413-075 Issued in CA

Legal business name

A AND D AT CORTEZ LLC

Practice address

378 W Cortez Rd
Palm Springs, CA 92262-1910

Phone

(760) 325-4146

Fax

(760) 325-4114

NPI assigned

Jul 29, 2010

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Posa, ADMINISTRATOR

Title

Licensee

Phone

(760) 325-4146

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1609180850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 W CORTEZ RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922621910",
            "telephone_number": "760-325-4146",
            "fax_number": "760-325-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 W CORTEZ RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922621910",
            "telephone_number": "760-325-4146",
            "fax_number": "760-325-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A AND D AT CORTEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "POSA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "760-325-4146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "336413-076",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "336413-077",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "336413-078",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "336413-075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336413-075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alzheimer Center (Dementia Center) in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.