Desert Physical Medicine

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A6613 Issued in CA

Legal business name

DESERT PHYSICAL MEDICINE

Practice address

81765 Highway 111, Ste #3
Indio, CA 92201

Phone

(760) 863-5955

Fax

(760) 863-5655

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By 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

Marco A CazaresNPI 1124161708

Title

General Manager

Phone

(760) 863-5955

Specialties & licenses 1

Addresses

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.

• Marco Antonio Cazares, D.C.

  • Chiropractor
  • Indio, CA
  • NPI 1124161708
  Authorized official Same address or phone

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1700363645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81765 HIGHWAY 111, STE #3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-863-5955",
            "fax_number": "760-863-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81765 HIGHWAY 111, STE #3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-863-5955",
            "fax_number": "760-863-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "CAZARES",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "760-863-5955"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Medical Group (First Choice Immediate Care)
• Desert Medical Group
• Desert Medical Imaging, a Medical Corporation (Desert Medical Imaging)
• Desert Medical Specialists Inc
• Desert Medical Transport Inc.
• Desert Physical Medicine & Pain Management
• Desert Prosthetics & Orthotics Group
• Desert Prosthetics & Orthotics Inc.
• Luz Yanitza Devlin
• Barbara Patricia Diamond, RN

• General Practice Physician in Indio, CA
• Providers in Indio, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.