Active NPI
San Cross Medical
- Cardiovascular Disease Physician
- Desert Hot Springs, CA
National Provider Identifier
1861636144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G57286
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryLocations
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.