W Ray Henderson MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

C24144 Issued in CA

Legal business name

W RAY HENDERSON MD INC

Practice address

73180 El Paseo
Palm Desert, CA 92260-4218

Phone

(760) 346-3810

Fax

(760) 346-3083

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

W Ray Henderson, MD

Title

Medical Director

Phone

(760) 346-3810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1881854206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73180 EL PASEO",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604218",
            "telephone_number": "760-346-3810",
            "fax_number": "760-346-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73180 EL PASEO",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604218",
            "telephone_number": "760-346-3810",
            "fax_number": "760-346-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W RAY HENDERSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "W RAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-346-3810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "C24144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Desert Medical Tranportation Inc.
• Vision Professionals a Medical Corporation
• Jenna Von Haden
• Ivy H Vu
• Vincent Hieu Vutran, DPT
• W. Ray Henderson,MD Inc
• W.Ray Henderson MD Inc
• Donald H Wade, MD
• Sparkle Wafer
• Brent Wagner, M.D.

• Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.