Organization Active NPI

World Gym of Palm Desert LLC

  • General Practice Physician
  • Palm Desert, CA
National Provider Identifier
1831623339
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WORLD GYM OF PALM DESERT LLC
Practice address
41651 Corporate Way
Suite 1
Palm Desert, CA 92260-1987
Phone
(760) 774-5880
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Wanda Matranga
Title
Owner
Phone
(760) 774-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

41651 Corporate Way
Suite 1
Palm Desert, CA 92260-1987

Mailing address

41651 Corporate Way
Suite 1
Palm Desert, CA 92260-1987

National Provider Directory

National Provider Directory

Locations

41651 Corporate Way
Ste 1
Palm Desert, CA 92260
Phone (760) 774-5880

72840 Highway 111
Palm Desert, CA 92260
Phone (760) 341-7620

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1831623339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41651 CORPORATE WAY",
            "address_2": "SUITE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41651 CORPORATE WAY",
            "address_2": "SUITE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601987",
            "telephone_number": "760-774-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLD GYM OF PALM DESERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "MATRANGA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-774-5880"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 11, 2017; 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.