Eko Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EKO SURGERY CENTER, LLC

Practice address

44651 Village CT Ste 104
Palm Desert, CA 92260-3821

Phone

(760) 249-2222

Fax

(760) 237-2223

NPI assigned

Jan 12, 2022

Last updated

Mar 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Eko, MDNPI 1134394117

Title

Medical Director/Owner

Phone

(760) 249-2222

Specialties & licenses 1

Addresses

Other names 1

• Frederick Eko, MD., Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699426692. Details of each certification follow.

• CCN 55C0001156 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 55C0001156

Legal name

Eko Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 25, 2023

Last certification

Aug 25, 2023

Ownership / control type

Proprietary

Facility address

44651 Village Ct
Palm Desert, CA 92260

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick N Eko, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Palm Desert, CA
  • NPI 1134394117
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1699426692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922610011",
            "telephone_number": "760-205-3060",
            "fax_number": "760-205-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44651 VILLAGE CT STE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603821",
            "telephone_number": "760-249-2222",
            "fax_number": "760-237-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKO SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "EKO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "760-249-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Eko, MD., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarita Lynn Edwards, SLP
• Erin Elizabeth Eiland
• Anatea Carina Einhorn, MPH
• Eisenhower Medical Center (Eisenhower)
• Eisenhower Medical Center (Eisenhower Health)
• Frederick N Eko, M.D.
• Dona Therese El-Khoury, MD
• Elder Love USA, Inc.
• Akeimo Maatifa Eleasaro Jr.
• Bassmala Elgamal

• Ambulatory Surgical Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.