Desert Colon & Rectal Medical Group,Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A41157 Issued in CA

Legal business name

DESERT COLON & RECTAL MEDICAL GROUP,INC.

Practice address

39000 Bob Hope Dr
Kiewit Building, Suite 403
Rancho Mirage, CA 92270-3221

Phone

(760) 346-5551

Fax

(760) 779-1960

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By 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. Michael David Last, M.D.NPI 1164542205

Title

Owner

Phone

(760) 346-5551

Specialties & licenses 1

Addresses

Locations

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.

• Michael D Last, M.D.

  • Specialist
  • Rancho Mirage, CA
  • NPI 1164542205
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699896217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "KIEWIT BUILDING, SUITE 403",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-5551",
            "fax_number": "760-779-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "KIEWIT BUILDING, SUITE 403",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-5551",
            "fax_number": "760-779-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT COLON & RECTAL MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-346-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A41157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John George Desantis, D.O.
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• Desert Clinic, LLC
• Desert Comprehensive Urology
• Desert Counseling & Assessment Center, a Psychological Corporation
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• Desert Ear, Nose & Throat Medical Group, Inc.
• Desert Gastroenterology Consultanta

• Specialist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.