Palm Desert Surgery Center, a Medical Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PALM DESERT SURGERY CENTER, A MEDICAL CORPORATION

Practice address

44331 Monterey Ave
Palm Desert, CA 92260-2788

Phone

(760) 636-1440

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Natalie Driessen, MDNPI 1619174521

Title

Owner

Phone

(949) 212-3413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Palm Desert Surgery Center a Medical CorporationCCN 05C0002256

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Natalie Driessen

  • Plastic Surgery Physician
  • Palm Desert, CA
  • NPI 1619174521
  Medicare reassignment NPD Authorized official
• James Martinez, SRNA

  • Certified Registered Nurse Anesthetist
  • Alhambra, CA
  • NPI 1194124610
  Medicare reassignment NPD
• Michael Joseph Messina, MD

  • Dermatology Physician
  • Palm Desert, CA
  • NPI 1609073048
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1730642216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44331 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602788",
            "telephone_number": "760-636-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44331 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602788",
            "telephone_number": "760-636-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DESERT SURGERY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "DRIESSEN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-212-3413",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Desert Pediatrics Inc
• Palm Desert Pharmacy Inc (Palm Desert Drugs)
• Palm Desert Physical Therapy, Inc.
• Palm Desert Psychiatry Inc
• Palm Desert Recovery Center, Inc.
• Palm Springs Home Health Services Inc.
• Palm Valley Surgical Center, Inc
• Palm Valley Virtual Care LLC
• Palmera Home Health Services LLC
• Molly Kathryn Paradis, OTR/L

• Ambulatory Surgical Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.