Organization Active NPI

Premier Surgical Assoc Palm Springs Inc

  • Surgery Physician
  • Palm Springs, CA
National Provider Identifier
1821356742
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Mar 18, 2013

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.