NPIMap

Organization Active NPI

Desert Medical Imaging, a Medical Corporation

  • Diagnostic Radiology Physician
  • Indio, CA
National Provider Identifier
1609876549
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
FNP25453 Issued in CA
Legal business name
DESERT MEDICAL IMAGING, A MEDICAL CORPORATION
Practice address
81800 Dr Carreon Blvd
Ste C
Indio, CA 92201-0608
Phone
(760) 863-4085
Fax
(760) 501-0081
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Cory Hammond
Title
Cfo
Phone
(760) 776-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X FNP25453 CA Primary

Addresses

Primary practice location

81800 Dr Carreon Blvd
Ste C
Indio, CA 92201-0608

Mailing address

74785 US Highway 111
Ste 101
Indian Wells, CA 92210-7128
Phone (760) 776-8989

Other identifiers 1

IdentifierTypeStateIssuer
GR0083072MedicaidCA

Other names 1

  • DESERT MEDICAL IMAGING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Medical Imaging AMC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1609876549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111",
            "address_2": "STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107128",
            "telephone_number": "760-776-8989",
            "fax_number": "760-779-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81800 DR CARREON BLVD",
            "address_2": "STE C",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010608",
            "telephone_number": "760-863-4085",
            "fax_number": "760-501-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL IMAGING, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-776-8989"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "FNP25453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DESERT MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2019; 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.