Active NPI
Desiree Pugeda Palmer
- Specialist
- Rancho Palos Verdes, CA
National Provider Identifier
1780802355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT 3577
- Practice address
- 5701 Crestridge Rd
Rancho Palos Verdes, CA 90275-4962 - Phone
- (310) 377-9977
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AT 3577 | CA | Primary |
Addresses
Primary practice location
5701 Crestridge Rd
Rancho Palos Verdes, CA 90275-4962
Mailing address
3806 Newton St
Torrance, CA 90505-6421
Phone (310) 373-4439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 3577 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780802355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 NEWTON ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056421",
"telephone_number": "310-373-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 CRESTRIDGE RD",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902754962",
"telephone_number": "310-377-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "DESIREE",
"middle_name": "PUGEDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "AT 3577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
- Glenda S Owens, R.PH
- Pacific Sunrise Home Inc. (Pacific Sunrise Home 3)
- Pacific Sunrise Home Inc. (Pacific Sunrise Home 2)
- Pacific Sunrise Home Inc. (Pacific Sunrise Home 1)
- Girivinothan Palaniswamy, DDS
- Doris Angela Paloma, MS,PT
- Gladys Encarnacion Palomeno, M.D.
- Palos Verdes Care Cottage LLC
- Palos Verdes Villa Retirement Home
- Palos Verdes Villa Retirement Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.