Individual provider Active NPI

Wallace Franklin Goldban, M.D.

  • Ophthalmology Physician
  • Palm Springs, CA
National Provider Identifier
1780872671
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G077969 Issued in CA
Practice address
1180 N Indian Canyon Dr Ste W100
Palm Springs, CA 92262-4834
Phone
(760) 320-8497
Fax
(760) 320-5444
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G077969 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste W100
Palm Springs, CA 92262-4834

Mailing address

1180 N Indian Canyon Dr Ste W100
Palm Springs, CA 92262-4834
Phone (760) 320-8497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091228000447 CA Practitioner - Ophthalmology 2567502438 Reassigns benefits to 2 organizations
O20100930040555 CA DME Supplier - Physician - Ophthalmology 5496895377 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Springs, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Elite Eye Group IncGroup PAC ID 1951744630, 4 clinicians
Desert Ophthalmology Medical CorporationGroup PAC ID 5496895377, 5 clinicians

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite E130
Palm Springs, CA 92262-4876
Phone (760) 776-8600

72650 Fred Waring Dr
Suite 109
Palm Desert, CA 92260-5008
Phone (760) 320-8497

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Elite Eye Group Inc Ophthalmology CurrentSince Nov 29, 2023 Accepting new patients
Desert Elite Eye Group Inc Ophthalmology Past Accepting new patients

Locations

45175 Panorama Dr
Ste B
Palm Desert, CA 92260
Phone (760) 346-4665

72650 Fred Waring Dr
Ste 109
Palm Desert, CA 92260
Phone (760) 320-8497

1180 N Indian Canyon Dr
Ste W100
Palm Springs, CA 92262
Phone (760) 320-8497

1180 N Indian Canyon Dr
Ste E130
Palm Springs, CA 92262
Phone (760) 320-7051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1780872671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE W100",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624834",
            "telephone_number": "760-320-8497",
            "fax_number": "760-320-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE W100",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624834",
            "telephone_number": "760-320-8497",
            "fax_number": "760-320-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBAN",
        "first_name": "WALLACE",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G077969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.