Organization Active NPI

Empire Specialists Incorporated

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Indio, CA
National Provider Identifier
1720384548
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
EMPIRE SPECIALISTS INCORPORATED
Practice address
82013 Dr Carreon Blvd
Suite G
Indio, CA 92201-4832
Phone
(951) 280-7888
Fax
(951) 372-9014
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Walter Jayasinghe, M.D.
Title
Ceo
Phone
(951) 280-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

82013 Dr Carreon Blvd
Suite G
Indio, CA 92201-4832

Mailing address

2115 Compton Ave
Suite 104
Corona, CA 92881-7272
Phone (626) 798-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1720384548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 COMPTON AVE",
            "address_2": "SUITE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817272",
            "telephone_number": "626-798-8600",
            "fax_number": "626-798-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD",
            "address_2": "SUITE G",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014832",
            "telephone_number": "951-280-7888",
            "fax_number": "951-372-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE SPECIALISTS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "JAYASINGHE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-280-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "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 Nov 26, 2012; 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.