NPIMap

Organization Active NPI

Eisenhower Medical Center

  • General Acute Care Hospital
  • Palm Desert, CA
National Provider Identifier
1912397290
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
250000142 Issued in CA
Legal business name
EISENHOWER MEDICAL CENTER
Practice address
41990 Cook St Ste A102
Palm Desert, CA 92211-6101
Phone
(760) 773-1411
Fax
(760) 773-4398
NPI assigned
Jan 26, 2015
Organization subpart
Yes
Parent organization
EISENHOWER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Martin Joseph Massiello
Title
President/Ceo
Phone
(760) 773-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 250000142 CA Primary

Addresses

Primary practice location

41990 Cook St Ste A102
Palm Desert, CA 92211-6101

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Phone (760) 773-1411

Other practice location 1

41990 Cook St Ste A103
Palm Desert, CA 92211-6100
Phone (760) 773-1411

Other names 2

  • Eisenhower Health Doing business as
  • Eisenhower Sleep Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000102 CA Part B Supplier - Clinic/Group Practice 5890689657 Receives reassigned benefits from 618 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Springs, CA; Rancho Mirage, CA; Yucca Valley, CA; La Quinta, CA; Cathedral City, CA; Indio, CA; Palm Desert, CA

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Eisenhower Memorial Hos24 organizations share this tax ID, including this one
Part of
Eisenhower Memorial Hos

Other organizations with this tax ID 23

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

View all 23

Locations

1555 S Palm Canyon Dr
Bldg C
Palm Springs, CA 92264
Phone (760) 773-4560

40075 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 340-3911

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1912397290",
    "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": "922703202",
            "telephone_number": "760-773-1411",
            "fax_number": "760-773-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE A102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116101",
            "telephone_number": "760-773-1411",
            "fax_number": "760-773-4398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41990 Cook St Ste A103",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116100",
            "country_code": "US",
            "telephone_number": "760-773-1411",
            "fax_number": "760-773-4398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EISENHOWER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EISENHOWER MEDICAL CENTER",
        "enumeration_date": "2015-01-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "MASSIELLO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-773-1228"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "250000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenhower Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eisenhower Sleep 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 Apr 3, 2026; 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.