Organization Active NPI

Younes Medical Corporation

Doing business as Desert Infusion Center

  • Infusion Therapy Clinic/Center
  • Palm Desert, CA
National Provider Identifier
1881736312
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
A94095 Issued in CA
Legal business name
YOUNES MEDICAL CORPORATION
Doing business as
Desert Infusion Center
Practice address
36923 Cook St
Suite 103
Palm Desert, CA 92211-6073
Phone
(760) 636-1336
Fax
(760) 636-1335
NPI assigned
Feb 13, 2007
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Miss Carla Mendes
Title
Office/Billing Manager
Phone
(760) 636-1336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X A94095 CA Primary

Addresses

Primary practice location

36923 Cook St
Suite 103
Palm Desert, CA 92211-6073

Mailing address

36923 Cook St
Suite 103
Palm Desert, CA 92211-6073
Phone (760) 636-1336

Other names 1

  • DESERT INFUSION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070516000550 CA Part B Supplier - Clinic/Group Practice 4981701539 Receives reassigned benefits from 3 practitioners
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

36919 Cook St
Ste 101
Palm Desert, CA 92211
Phone (760) 636-1336

36923 Cook St
Ste 103
Palm Desert, CA 92211
Phone (760) 568-5323

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1881736312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36923 COOK ST",
            "address_2": "SUITE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116073",
            "telephone_number": "760-636-1336",
            "fax_number": "760-636-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36923 COOK ST",
            "address_2": "SUITE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116073",
            "telephone_number": "760-636-1336",
            "fax_number": "760-636-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNES MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "760-636-1336",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "A94095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT INFUSION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.