Organization Active NPI

Desert Pet Imaging, LLC

  • Radiology Clinic/Center
  • Palm Springs, CA
National Provider Identifier
1629021167
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
EXEMPT Issued in CA
Legal business name
DESERT PET IMAGING, LLC
Practice address
1180 N Indian Canyon Dr
Room E-155
Palm Springs, CA 92262-4800
Phone
(760) 327-8000
Fax
(760) 327-8003
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Wayne K Baldwin
Title
Coo
Phone
(805) 370-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X EXEMPT CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr
Room E-155
Palm Springs, CA 92262-4800

Mailing address

250 N Westlake Blvd
Suite 220
Westlake Village, CA 91362-3700
Phone (805) 370-0200

National Provider Directory

National Provider Directory

Locations

1180 N Indian Canyon Dr
Ste E155
Palm Springs, CA 92262
Phone (760) 318-2980

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1629021167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N WESTLAKE BLVD",
            "address_2": "SUITE 220",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623700",
            "telephone_number": "805-370-0200",
            "fax_number": "805-370-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "ROOM E-155",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-327-8000",
            "fax_number": "760-327-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PET IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-370-0200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2007; 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.