Active NPI
William J Phaklides II, M.D.
- Neonatal-Perinatal Medicine Physician
- Palm Springs, CA
National Provider Identifier
1861442154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- G44825
- Practice address
- 1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872 - Phone
- (760) 323-6430
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G44825 | CA | Primary |
Addresses
Primary practice location
1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Mailing address
69696 Pleasant GRV
Cathedral City, CA 92234-2542
Phone (760) 770-5306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111028000074 | CA | Order and Referring Only - Pediatric Medicine | 3476726977 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44825 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Hi-Desert Medical Center | Past | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients | |
| JFK Memorial Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Radiology Clinic/Center
- Joshua Tree, CA
- NPI 1477683951
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861442154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69696 PLEASANT GRV",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922342542",
"telephone_number": "760-770-5306"
},
{
"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": "760-323-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAKLIDES",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "G44825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.