Active NPI
Premier Surgical Assoc Palm Springs Inc
- Surgery Physician
- Palm Springs, CA
National Provider Identifier
1821356742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PREMIER SURGICAL ASSOC PALM SPRINGS INC
- Practice address
- 1180 N Indian Canyon Dr
Suite 421
Palm Springs, CA 92262-4882 - Phone
- (760) 424-8224
- Fax
- (760) 424-8227
- NPI assigned
- Apr 28, 2012
- 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
- David S Johnson, MD
- Title
- President
- Phone
- (951) 766-1222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
1180 N Indian Canyon Dr
Suite 421
Palm Springs, CA 92262-4882
Mailing address
1180 N Indian Canyon Dr
Suite 421
Palm Springs, CA 92262-4882
Phone (760) 424-8224
National Provider Directory
National Provider DirectoryLocations
1180 N Indian Canyon Dr
Ste E421
Palm Springs, CA 92262
Phone (760) 424-8224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Rancho Mirage, CA
- NPI 1548279755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363564800000",
"number": "1821356742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 N INDIAN CANYON DR",
"address_2": "SUITE 421",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624882",
"telephone_number": "760-424-8224",
"fax_number": "760-424-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N INDIAN CANYON DR",
"address_2": "SUITE 421",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624882",
"telephone_number": "760-424-8224",
"fax_number": "760-424-8227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER SURGICAL ASSOC PALM SPRINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-28",
"last_updated": "2013-03-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-766-1222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.