Active NPI
Marianne Gregorich, FNP
- Family Nurse Practitioner
- Indian Wells, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007760
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007760 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palms Imaging Medical Group | Current | Accepting new patients | |
| HMG Urology PC | Current | Accepting new patients | |
| Halo Medical Group | Current | 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
- mgregorich235276@direct.cshs.org
- 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.
-
- Diagnostic Radiology Physician
- Indian Wells, CA
- NPI 1467506451
-
- Family Medicine Physician
- Indian Wells, CA
- NPI 1770210684
-
- Diagnostic Radiology Physician
- Oxnard, CA
- NPI 1851347272
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.