Individual provider Active NPI

Jose Candelario, M.D.

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1750874251
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A182486 Issued in CA
Practice address
555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone
(760) 561-7373
Fax
(760) 327-5140
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD61089367 WA
Family Medicine Physician 207Q00000X A182486 CA Primary

Addresses

Primary practice location

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752

Mailing address

PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6937

Other practice location 1

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826003361 CA Practitioner - Family Practice 2264844836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountain Valley Group Services PCGroup PAC ID 9931427382, 16 clinicians
Desert Physicians Medical Group HealthGroup PAC ID 0042758443, 15 clinicians

Practice addresses (Care Compare)

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

555 E Tachevah Dr
Suite 1E204
Palm Springs, CA 92262-5733
Phone (760) 424-8731

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182486CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Feb 2, 2025 Accepting new patients
Fountain Valley Group Services PC CurrentSince Jan 1, 2025 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
St. Johns Community Health Current Accepting new patients
Desert Group Services, PC CurrentSince Nov 15, 2024 Accepting new patients
Desert Group Services, PC Current Accepting new patients
St. Johns Community Health CurrentSince Feb 2, 2025 Accepting new patients
Desert Physicians Medical Group Health Family Medicine CurrentSince Mar 2, 2025 Accepting new patients
First Choice Physician Partners General Practice CurrentSince Jul 15, 2024 Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

82025 US Highway 111
Unit 101
Indio, CA 92201
Phone 32354116002332

6722 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

555 E Tachevah Dr
Ste 1E204
Palm Springs, CA 92262
Phone (760) 325-4100

1100 N Palm Canyon Dr
Ste 109
Palm Springs, CA 92262
Phone (760) 992-7152

555 E Tachevah Dr
Ste 3W101
Palm Springs, CA 92262
Phone (760) 327-1557

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jose.candelario.1@31502.direct.athenahealth.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1750874251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952013120",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319693",
            "country_code": "US",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELARIO",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD61089367",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A182486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.