Maxine Beltran Agregado

Individual provider Active NPI Medical Physician Assistant · Desert Hot Springs, CA

NPI 1811510019 · NPPES record last updated Dec 4, 2025

Key facts

NPI
1811510019
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
Practice address
12890 Quinta Way
Desert Hot Springs, CA 92240-4852
Phone
(760) 329-2959
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Ranch Recovery Centers Inc Past
since May 24, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Yes

Addresses

Primary practice location

12890 Quinta Way
Desert Hot Springs, CA 92240-4852

Mailing address

12890 Quinta Way
Desert Hot Springs, CA 92240-4852

Other providers in Desert Hot Springs, CA

All providers in Desert Hot Springs, CA · Medical Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.