NPIMap

Organization Active NPI

Carol Renke MD

  • Family Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1659619633
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C50328 Issued in CA
Legal business name
CAROL RENKE MD
Practice address
44139 Monterey Ave Ste A102
Palm Desert, CA 92260-8700
Phone
(760) 776-8444
Fax
(760) 776-8440
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Carol Renke, MDNPI 1407878473
Title
Owner
Phone
(760) 776-8444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C50328 CA Primary

Addresses

Primary practice location

44139 Monterey Ave Ste A102
Palm Desert, CA 92260-8700

Mailing address

44139 Monterey Ave Ste A102
Palm Desert, CA 92260-8700
Phone (760) 776-8444

National Provider Directory

National Provider Directory

Locations

44139 Monterey Ave
Ste A102
Palm Desert, CA 92260
Phone (760) 776-8444

Practitioners & affiliated clinicians

Practitioners 2

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1659619633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE STE A102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700",
            "telephone_number": "760-776-8444",
            "fax_number": "760-776-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE STE A102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700",
            "telephone_number": "760-776-8444",
            "fax_number": "760-776-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL RENKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "RENKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-776-8444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C50328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.