NPIMap

Organization Active NPI

Coachella Desert Oasis OB/GYN, Medical Associates Inc.

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1609965748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51395 Issued in CA
Legal business name
COACHELLA DESERT OASIS OB/GYN, MEDICAL ASSOCIATES INC.
Practice address
1180 N Indian Canyon Dr
Suite W-300
Palm Springs, CA 92262-4800
Phone
(760) 416-3770
Fax
(760) 322-4596
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Reynaldo O Gomez, M.D.NPI 1386647394
Title
Physician
Phone
(760) 416-3390

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A51395 CA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G86746 CA

Addresses

Primary practice location

1180 N Indian Canyon Dr
Suite W-300
Palm Springs, CA 92262-4800

Mailing address

PO Box 2165
Palm Springs, CA 92263-2165
Phone (760) 416-3770

Other identifiers 1

IdentifierTypeStateIssuer
GR0090410MedicaidCA

National Provider Directory

National Provider Directory

Locations

41120 Washington St
Ste 201
Bermuda Dunes, CA 92203
Phone (760) 360-3193

1180 N Indian Canyon Dr
Ste 300W
Palm Springs, CA 92262
Phone 760416370011

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609965748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2165",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632165",
            "telephone_number": "760-416-3770",
            "fax_number": "760-322-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE W-300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-3770",
            "fax_number": "760-322-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA DESERT OASIS OB/GYN, MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-416-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51395",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G86746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.