Center for Advanced Pulmonary Medicine

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A76930 Issued in CA

Legal business name

CENTER FOR ADVANCED PULMONARY MEDICINE

Practice address

71511 Highway 111
Ste J
Rancho Mirage, CA 92270-4465

Phone

(760) 674-9800

Fax

(760) 674-9807

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Learned R Gonzales, M.D.

Title

President

Phone

(562) 208-2429

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1679754378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CORNELL DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703630",
            "telephone_number": "562-208-2429",
            "fax_number": "760-674-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71511 HIGHWAY 111",
            "address_2": "STE J",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704465",
            "telephone_number": "760-674-9800",
            "fax_number": "760-674-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED PULMONARY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "LEARNED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-208-2429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A76930",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A76930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A76930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Castillo, DDS
• James Michael Caterine, M.D.
• Kristine Amy Cavan, FNP-BC
• Daniel Cavato, DPT
• Cedars-Sinai Imaging Medical Group a Professional Corporation
• Centers for Wellness and Health, a Medical Corporation
• Michelle Jacqueline Cervantes-Morales
• Mi Hyang Cha
• Krishan Shivam Chaddha, DO
• Tushank Chadha

• Pulmonary Disease Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.