Active NPI
David Stephen Wilgarde, M.D.
- Pain Medicine Physician
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- G74463
- Practice address
- 3001 E Tahquitz Canyon Way Ste 108
Palm Springs, CA 92262-6900 - Phone
- (760) 320-4292
- Fax
- (760) 322-9475
- NPI assigned
- Jul 26, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | G744630 | ||
| Pain Medicine Physician | 208VP0000X | G74463 | CA | Primary |
Addresses
Primary practice location
3001 E Tahquitz Canyon Way Ste 108
Palm Springs, CA 92262-6900
Mailing address
148 W Camino Encanto
Palm Springs, CA 92264-8910
Phone (760) 969-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G744632 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Physician Type (Specify)
- Education
- Wayne State University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511
3001 E Tahquitz Canyon Way
Suite 108
Palm Springs, CA 92262-6900
Phone (760) 320-4292
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Physical Medicine & Rehabilitation Physician
- Palm Springs, CA
- NPI 1578011599
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Palm Springs, CA
- NPI 1912938788
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1790785467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W CAMINO ENCANTO",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922648910",
"telephone_number": "760-969-5200",
"fax_number": "760-969-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E TAHQUITZ CANYON WAY STE 108",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626900",
"telephone_number": "760-320-4292",
"fax_number": "760-322-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILGARDE",
"first_name": "DAVID",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": "G744630",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G74463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G744632",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.