NPIMap

Organization Active NPI

Vein Institute of the Desert

  • Ph.D. Medical Genetics
  • Palm Desert, CA
National Provider Identifier
1740637511
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
G86215 Issued in MO
Legal business name
VEIN INSTITUTE OF THE DESERT
Practice address
74361 Highway 111 Ste 5
Palm Desert, CA 92260-4125
Phone
(760) 610-5573
Fax
(760) 610-5601
NPI assigned
May 20, 2016
Last updated
May 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Miss Tanya Lynn Sabala
Title
Billing Specialist
Phone
(760) 610-5573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X G86215 MO Primary

Addresses

Primary practice location

74361 Highway 111 Ste 5
Palm Desert, CA 92260-4125

Mailing address

74361 Hwy 111 Suite 5
Palm Desert, CA 92260
Phone (760) 610-5573

Other identifiers 1

IdentifierTypeStateIssuer
1215227053MedicaidCA

Other names 1

  • Joan L Warren Medical Corp Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1740637511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74361 HWY 111 SUITE 5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-610-5573",
            "fax_number": "760-610-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74361 HIGHWAY 111 STE 5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604125",
            "telephone_number": "760-610-5573",
            "fax_number": "760-610-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN INSTITUTE OF THE DESERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "SABALA",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "760-610-5573",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MO",
            "license": "G86215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215227053",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joan L Warren Medical Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.