Desert Regional Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DESERT REGIONAL HOSPICE INC

Practice address

35325 Date Palm Dr Ste 245B
Cathedral City, CA 92234-7015

Phone

(818) 371-5979

NPI assigned

Jun 21, 2021

Organization subpart

No

Name

Marck Anton S Tamayo

Title

Compliance Officer

Phone

(714) 829-8903

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Daisy Ibanez Bautista, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1306856992

  Hospice

  Care Compare affiliation Name & address match
• Philip Zhou, D.O.

  • General Practice Physician
  • Westminster, CA
  • NPI 1770967622

  Hospice

  Care Compare affiliation Name & address match

Listed as

Eden Hospice, IncCCN B41572

Certified

Jun 14, 2022

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2021.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1851960165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35325 DATE PALM DR STE 245B",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347015",
            "telephone_number": "818-371-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35325 DATE PALM DR STE 245B",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347015",
            "telephone_number": "818-371-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT REGIONAL HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "MARCK ANTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-829-8903"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Medical Group
• Desert Medical Group/Living and Aging Well
• Desert Mirage Hospice, LLC
• Desert Prosthetics & Orthotics
• Desert Regional Home Healthcare Inc
• Desert Serenity, Inc
• Desert Star Med-Transport LLC
• Desert Sun Home Health Care Inc
• Desert Valley Healthcare, Inc.
• Jon Douglas Detwiler, M.A.

• All providers in Cathedral City, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.