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FOOT ANKLE ASSOCIATED OF THE DESERT NPI 1093795320


NPI Information

NPI: 1093795320
Provider Name: FOOT ANKLE ASSOCIATED OF THE DESERT

Former Legal Business Name: FOOT ANKLE ASSOCIATES OF THE DESERT

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
82013 DR CARREON BLVD
INDIO, CA
ZIP 92201
Phone: (760) 863-0048
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FOOT ANKLE ASSOCIATED OF THE DESERT is a foot and ankle surgery podiatrist in Indio, CA. FOOT ANKLE ASSOCIATED OF THE DESERT NPI is 1093795320. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Foot Ankle Associates Of The Desert.

The provider's business location address is:

82013 DR CARREON BLVD
INDIO, CA
ZIP 92201-832
Phone: (760) 863-0048

The provider's authorized official is John Edward Ebaugh .
The authorized official title is Podiatry and has the following contact phone number (760) 863-0070.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes
2314000000XSkilled Nursing Facility=========CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.