Desert DX LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

DESERT DX LLC

Practice address

712 N Alta Vista Blvd
Los Angeles, CA 90046-7602

Phone

(213) 999-0896

NPI assigned

Nov 29, 2020

Last updated

Nov 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maximilian Hugh Ncnally, BSC

Title

Ceo

Phone

(213) 999-0896

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Desert DX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Desert DX LLC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1346830783
  NPD tax ID

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606608000000",
    "number": "1831793991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 OCEAN PARK BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053525",
            "telephone_number": "213-999-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N ALTA VISTA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467602",
            "telephone_number": "213-999-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A",
        "authorized_official_last_name": "NCNALLY",
        "authorized_official_first_name": "MAXIMILIAN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-999-0896",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maxm@ddxcorp.com",
            "affiliation": "N",
            "endpointDescription": "personal business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "712 N Alta Vista Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900467602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa R Desantis
• Simrina Desar, MD
• Eddie Yee Descallar, NP-C
• Daniel Anthony Deschenes
• Desert DX LLC
• Lule Ayalew Deshields
• Anusha Deshpande, DO
• Durga Shrikant Deshpande, M.B.B.S.
• Ojas Abhijit Deshpande, MD
• Rasika Rajendra Deshpande

• Other Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.