Active NPI
Desert Regional Medical Center
- Acute Care Nurse Practitioner
- Palm Springs, CA
National Provider Identifier
1861176307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- DESERT REGIONAL MEDICAL CENTER
- Practice address
- 1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872 - Phone
- (760) 323-6511
- NPI assigned
- Jun 14, 2023
- Last updated
- Jun 14, 2023
- 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
- Latifa Boukarrou, MD
- Title
- Medical Director Neurology
- Phone
- (949) 402-6255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | Primary |
Addresses
Primary practice location
1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Mailing address
9313 National Blvd Apt 105
Los Angeles, CA 90034-2945
Phone (213) 568-8195
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acute Care Nurse Practitioner
- Marina del Rey, CA
- NPI 1326722679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1861176307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 NATIONAL BLVD APT 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342945",
"telephone_number": "213-568-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N INDIAN CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624872",
"telephone_number": "760-323-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "BOUKARROU",
"authorized_official_first_name": "LATIFA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR NEUROLOGY",
"authorized_official_telephone_number": "949-402-6255",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
- Desert Pathology Medical Group, Inc.
- Desert Pet Imaging, LLC
- Desert Physicians Medical Group Health
- Desert Primary Care Medical Associates, Inc.
- Desert Regional Medical Center
- Desert Regional Medical Center Healthy Beginnings Program
- Desert Regional Medical Center, Inc. (Desert Regional Medical Center)
- Desert Regional Medical Center, Inc. (Desert Regional Medical Center)
- Desert Regional Medical Center, Inc.
- Desert Regional Medical Center, Inc. (Desert Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.