NPIMap

Organization Active NPI

Eisenhower Medical Center

Doing business as Eisenhower

  • Urgent Care Clinic/Center
  • La Quinta, CA
National Provider Identifier
1861643991
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
250000142 Issued in CA
Legal business name
EISENHOWER MEDICAL CENTER
Doing business as
Eisenhower
Practice address
78822 Highway 111
La Quinta, CA 92253-2046
Phone
(760) 564-7000
Fax
(760) 564-0101
NPI assigned
Oct 7, 2008
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
EISENHOWER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mr. G. Aubrey Serfling
Title
Chief Executive Officer
Phone
(760) 340-3911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 250000142 CA Primary
General Acute Care Hospital 282N00000X 250000142 CA

Addresses

Primary practice location

78822 Highway 111
La Quinta, CA 92253-2046

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other names 1

  • Eisenhower Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Labtechniques Kiewit 1025 organizations share this tax ID, including this one
Part of
Labtechniques Kiewit 10

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1861643991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-674-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78822 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532046",
            "telephone_number": "760-564-7000",
            "fax_number": "760-564-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EISENHOWER MEDICAL CENTER",
        "enumeration_date": "2008-10-07",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "SERFLING",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-340-3911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "250000142",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "250000142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenhower",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.