College of the Desert

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

COLLEGE OF THE DESERT

Doing business as

COD Sports Medicine

Practice address

43500 Monterey Ave
Palm Desert, CA 92260-9305

Phone

(760) 773-2586

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Todd J. Conger

Title

Head Trainer

Phone

(760) 773-2586

Specialties & licenses 1

Addresses

Other names 1

• COD Sports Medicine Doing business as

Tax ID family

Cod Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• College of the Desert

  • Student Health Clinic/Center
  • Palm Desert, CA
  • NPI 1992014799
  NPD tax ID

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1720497928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43500 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609305",
            "telephone_number": "760-773-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE OF THE DESERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "CONGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "HEAD TRAINER",
        "authorized_official_telephone_number": "760-773-2586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COD Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coachella Valley Physical Therapy Corp.
• Coastalmed Medical Services, LLC.
• Samuel Moses Cohen, MD
• Danielle Chaneen Colbeck
• Christie Coleman
• College of the Desert
• Gregory Collins, PHARMD.
• Diane Royce Colman, MFT, PH.D
• Come Together ABA Services
• Concierge Nursing Referral Services LLC

• Student Health Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.