Active NPI
Radiology Assoc of the Desert Inc
- Radiology Clinic/Center
- Palm Desert, CA
National Provider Identifier
1801976287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- RADIOLOGY ASSOC OF THE DESERT INC
- Practice address
- 44215 Monterey Ave
Palm Desert, CA 92260 - Phone
- (760) 346-6413
- Fax
- (760) 340-1968
- NPI assigned
- Oct 17, 2006
- 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
- Ronald Wade, RN
- Title
- Admin Asst
- Phone
- (760) 346-6413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
44215 Monterey Ave
Palm Desert, CA 92260
Mailing address
PO Box 1595
Rancho Mirage, CA 92270
Phone (760) 346-6413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0099830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
747 E Union St
Pasadena, CA 91101
Phone (626) 793-0894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801976287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-346-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44215 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-346-6413",
"fax_number": "760-340-1968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOC OF THE DESERT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "ADMIN ASST",
"authorized_official_telephone_number": "760-346-6413",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0099830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.