Desert Prosthetics & Orthotics Group

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DESERT PROSTHETICS & ORTHOTICS GROUP

Practice address

57402 Twentynine Palms Hwy
8
Yucca Valley, CA 92284

Phone

(760) 770-4620

Fax

(760) 770-4622

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Neal Collins, CPO

Title

Owner

Phone

(760) 770-4620

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Desert Prosthetics Orthotics Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Desert Prosthetics & Orthotics Group

  • Prosthetic/Orthotic Supplier
  • Indio, CA
  • NPI 1588967962
  NPD tax ID

Locations

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1619251576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68860 PEREZ ROAD STE G",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92234",
            "telephone_number": "760-770-4620",
            "fax_number": "760-770-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57402 TWENTYNINE PALMS HWY",
            "address_2": "8",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-770-4620",
            "fax_number": "760-770-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PROSTHETICS & ORTHOTICS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-770-4620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Community Transportation Services LLC
• Desert Medical Group
• Desert Medical Group, Inc
• Desert Oasis Healthcare
• Desert Pediatrics Inc
• Desert Sage Healthcare, LLC
• Teresa L. Devinney
• Alice S. Dexter
• Diane E. Williams, Inc.
• Dayrin Y Diaz

• Prosthetic/Orthotic Supplier in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.