Organization Active NPI

Empire Vein & Vascular Specialists ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1780311548
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221012001293 CA Part B Supplier - Ambulatory Surgical Center 1052787314 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Mirage, CA

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2135219Empire Vein and Vascular Specialists ASC, LLC72120 Magnesia Falls Dr, Ste C, Rancho Mirage, CA 92270Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

Sources for this page

Verify at the official NPI Registry.