Coachella Valley Care Medical Associates Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A64634 Issued in CA

Legal business name

COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC

Practice address

81767 Dr Carreon Blvd Ste 201
Indio, CA 92201-5599

Phone

(760) 775-4181

Fax

(866) 544-2050

NPI assigned

Jan 10, 2014

Last updated

Mar 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Y Lin, MDNPI 1649289992

Title

Owner

Phone

(760) 534-2707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 17

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.

• Sam Yi-Shang Lin, M.D.

  • Sports Medicine (Family Medicine) Physician
  • La Quinta, CA
  • NPI 1649289992
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Mostyn, M.D.

  • Internal Medicine Physician
  • Palm Desert, CA
  • NPI 1235166059
  Medicare reassignment Care Compare group NPD
• Christopher Snyder, DO

  • Family Medicine Physician
  • Indio, CA
  • NPI 1922041235
  Medicare reassignment Care Compare group NPD
• Jeffrey Contreras Sr., FNP-C

  • Family Nurse Practitioner
  • Coachella, CA
  • NPI 1083399430
  Medicare reassignment NPD
• Sacho Rade Kondovski, DO

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1780678706
  Medicare reassignment NPD
• Gerardo Daniel Lopez, FNP-C

  • Family Nurse Practitioner
  • Coachella, CA
  • NPI 1760254296
  Medicare reassignment NPD
• Wendy Velasco, M.D.

  • Emergency Medicine Physician
  • Indio, CA
  • NPI 1235382052
  Medicare reassignment NPD
• Kevin William Canedy, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Mecca, CA
  • NPI 1609545656
  Medicare reassignment
• Janelle Colangelo, PA-C

  • Physician Assistant
  • Coachella, CA
  • NPI 1992109268
  Medicare reassignment
• Cathryn De Guzman, PA-C

  • Physician Assistant
  • Mecca, CA
  • NPI 1033778576
  Medicare reassignment
• Silverio De Jesus Alvarez, M.S., M.H.S., PA-C

  • Physician Assistant
  • Palm Springs, CA
  • NPI 1740758416
  NPD (past)
• Nihra A Hulbert, M.D.

  • Pediatrics Physician
  • Coachella, CA
  • NPI 1326080078
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1811319890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-775-4181",
            "fax_number": "866-544-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-775-4181",
            "fax_number": "866-544-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY CARE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-534-2707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Irene , Rita Clifton
• Clinicas de Salud del Pueblo, Inc (Indio Health Clinic)
• Nadia Clor
• Lilibeth Y Co, P.T.
• Coachella Valley Care Medical Associates Inc
• Coachella Valley East Medical Transportation
• Coachella Valley Medical Transport
• Coachella Valley Treatment Center
• Coalition to Reduce Underage Drinking, Inc.
• Veronica Cobarrubio

• Family Medicine Physician in Indio, CA
• Providers in Indio, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.