Alexandra Black

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5982 Issued in CA

Practice address

41990 Cook St BLDG F
Palm Desert, CA 92211-6100

Phone

(760) 565-5545

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: drblack@asbdi-ca.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aaron S Bean DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Palm Desert, CA
  • NPI 1083993984
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1669978664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-565-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST BLDG F",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-565-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Scott Berrios, DDS
• Corynne Betts, ACSW
• Navroop Bharti
• John Thomas Bianchin, DDS
• BJZ LLC
• Carleese Black
• Juanita Ilene Black, LMFT
• Amanda Claire Blake Unruh
• Alicia V Blanco Vasquez
• Brooke Blanke, MS CCC-SLP

• Foot & Ankle Surgery Podiatrist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.