Individual provider Active NPI

Marianne Gregorich, FNP

  • Family Nurse Practitioner
  • Indian Wells, CA
National Provider Identifier
1861727653
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007760 Issued in CA
Practice address
74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone
(760) 322-8883
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007760 CA Primary

Addresses

Primary practice location

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129

Mailing address

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone (608) 279-6626

Other practice location 1

1720 Esplanade
Chico, CA 95926-3315
Phone (760) 322-8883

Other practice location 2

47647 Caleo Bay Dr Ste 100
LA Quinta, CA 92253-8857
Phone (760) 322-8883

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128002598 CA Practitioner - Nurse Practitioner 3971646928 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007760CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palms Imaging Medical Group CurrentSince Oct 12, 2024 Accepting new patients
HMG Urology PC CurrentSince Mar 4, 2024 Accepting new patients
Halo Medical Group CurrentSince Oct 8, 2024 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Desert Advanced Imaging Medical Center Past Accepting new patients

Locations

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

79440 Corporate Center Dr
Ste 102
La Quinta, CA 92253
Phone (760) 610-8640

47647 Caleo Bay Dr
Ste 100
La Quinta, CA 92253
Phone (760) 322-8883

1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

72650 Fred Waring Dr
Palm Desert, CA 92260
Phone (661) 253-1173

1221 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-5255

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

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

Interoperability endpoints

  • Direct secure messaging: mgregorich235276@direct.cshs.org
  • Direct secure messaging: mgregorich250872@direct.hfhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1861727653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "608-279-6626",
            "fax_number": "310-582-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-322-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263315",
            "country_code": "US",
            "telephone_number": "760-322-8883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47647 Caleo Bay Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922538857",
            "country_code": "US",
            "telephone_number": "760-322-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORICH",
        "first_name": "MARIANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

Verify at the official NPI Registry.