Organization Active NPI

San Cross Medical

  • Cardiovascular Disease Physician
  • Desert Hot Springs, CA
National Provider Identifier
1861636144
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G57286 Issued in CA
Legal business name
SAN CROSS MEDICAL
Practice address
14080 Palm Dr
Sutie D-506
Desert Hot Springs, CA 92240-6851
Phone
(760) 880-6870
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Jeffrey L Hendel, MD
Title
Ceo
Phone
(760) 880-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G57286 CA Primary

Addresses

Primary practice location

14080 Palm Dr
Sutie D-506
Desert Hot Springs, CA 92240-6851

Mailing address

14080 Palm Dr
Sutie D-506
Desert Hot Springs, CA 92240-6851

National Provider Directory

National Provider Directory

Locations

14080 Palm Dr
Ste D506
Desert Hot Springs, CA 92240
Phone (760) 880-6870

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1861636144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14080 PALM DR",
            "address_2": "SUTIE D-506",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922406851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080 PALM DR",
            "address_2": "SUTIE D-506",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922406851",
            "telephone_number": "760-880-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CROSS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "HENDEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-880-6870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G57286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.