Active NPI
Empire Vein & Vascular Specialists ASC LLC
- Ambulatory Surgical Clinic/Center
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EMPIRE VEIN & VASCULAR SPECIALISTS ASC LLC
- Practice address
- 72120 Magnesia Falls Dr BLDG C6-14
Rancho Mirage, CA 92270-4938 - Phone
- (760) 568-3461
- Fax
- (760) 423-6273
- NPI assigned
- Aug 2, 2022
- Last updated
- Nov 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Wright
- Title
- Office Admin
- Phone
- (760) 568-3461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
72120 Magnesia Falls Dr BLDG C6-14
Rancho Mirage, CA 92270-4938
Mailing address
71780 San Jacinto Dr BLDG I
Rancho Mirage, CA 92270-5516
Phone (760) 568-3461
Other names 1
- Desert Vein & Vascular Institute ASC LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780311548. Details of each certification follow.
Ambulatory surgical center certification: CCN 55C0001147
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Desert Vein & Vascular Institute ASC, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 19, 2023
- Last certification
- Jul 19, 2023
- Ownership / control type
- Proprietary
- Facility address
- 72120 Magnesia Falls Drive
Rancho Mirage, CA 92270
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2135219 | Empire Vein and Vascular Specialists ASC, LLC | Certificate of waiver | Aug 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
72120 Magnesia Falls Dr
Bldg C614
Rancho Mirage, CA 92270
Phone (760) 568-3461
72120 Magnesia Falls Dr
Ste C614
Rancho Mirage, CA 92270
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.
-
- Vascular Surgery Physician
- Rancho Mirage, CA
- NPI 1619132719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1780311548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DR BLDG I",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705516",
"telephone_number": "760-568-3461",
"fax_number": "760-423-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72120 MAGNESIA FALLS DR BLDG C6-14",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704938",
"telephone_number": "760-568-3461",
"fax_number": "760-423-6273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE VEIN & VASCULAR SPECIALISTS ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-02",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "OFFICE ADMIN",
"authorized_official_telephone_number": "760-568-3461"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Vein & Vascular Institute ASC LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rancho Mirage, CA
- Emergency Medicine Physicians of Rancho Mirage, Inc.
- Emergency Physicians Medical Group, Inc
- Emergency Physicians Medical Group, Inc
- Emericare Inc (Emeritus at Rancho Mirage)
- Empire Vein & Vascular Specialists (Empire Vein Specialists)
- Vivian Enriquez
- Regina Epp, FNP
- Eric Presser MD Inc
- Lee Wayne Erlendson, M.D.
- Ngozi Alozie Erondu, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.