NPIMap

Organization Active NPI

Phoenix Women's Medical Group, Inc.

Doing business as Palm Springs Women's Healthcare Associates

  • Obstetrics & Gynecology Physician
  • Palm Springs, CA
National Provider Identifier
1699858555
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A87941 Issued in CA
Legal business name
PHOENIX WOMEN'S MEDICAL GROUP, INC.
Doing business as
Palm Springs Women's Healthcare Associates
Practice address
555 E Tachevah Dr
#2E-103
Palm Springs, CA 92262-5764
Phone
(760) 320-1805
Fax
(760) 416-9301
NPI assigned
Oct 23, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Ms. Margaret V Cooper Vaughn, M.D.NPI 1982607990
Title
President/ Owner
Phone
(760) 320-1805

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
Obstetrics & Gynecology Physician 207V00000X A87941 CA Primary

Addresses

Primary practice location

555 E Tachevah Dr
#2E-103
Palm Springs, CA 92262-5764

Mailing address

555 E Tachevah Dr
Suite #2E-103
Palm Springs, CA 92262-5764
Phone (760) 320-1805

Other identifiers 1

IdentifierTypeStateIssuer
GR0103420MedicaidCA

Other names 1

  • Palm Springs Women's Healthcare Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1180 N Indian Canyon Dr
Ste E321
Palm Springs, CA 92262
Phone (760) 320-1805

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1699858555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR",
            "address_2": "SUITE #2E-103",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625764",
            "telephone_number": "760-320-1805",
            "fax_number": "760-416-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR",
            "address_2": "#2E-103",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625764",
            "telephone_number": "760-320-1805",
            "fax_number": "760-416-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WOMEN'S MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "COOPER VAUGHN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "760-320-1805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A87941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Springs Women's Healthcare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2009; 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.