NPIMap

Organization Active NPI

Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
National Provider Identifier
1710325683
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64634 Issued in CA
Legal business name
COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC
Practice address
81767 Dr Carreon Blvd
Suite 201
Indio, CA 92201-5597
Phone
(760) 391-5151
Fax
(760) 391-5159
NPI assigned
Jun 12, 2013
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Arce Lopez
Title
Medical Billing Coordinator
Phone
(760) 863-1592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A64634 CA Primary

Addresses

Primary practice location

81767 Dr Carreon Blvd
Suite 201
Indio, CA 92201-5597

Mailing address

81767 Dr Carreon Blvd
201
Indio, CA 92201-5597
Phone (760) 775-4181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1710325683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015597",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "SUITE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015597",
            "telephone_number": "760-391-5151",
            "fax_number": "760-391-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ARCE",
        "authorized_official_title_or_position": "MEDICAL BILLING COORDINATOR",
        "authorized_official_telephone_number": "760-863-1592"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.