Active NPI
World Gym of Palm Desert LLC
- General Practice Physician
- Palm Desert, CA
National Provider Identifier
1831623339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.