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FOOT AND ANKLE ASSOCIATES OF THE DESERT NPI 1649487992


NPI Information

NPI: 1649487992
Provider Name: FOOT AND ANKLE ASSOCIATES OF THE DESERT
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
81709 DR CARREON BLVD
STE D3
INDIO, CA
ZIP 92201
Phone: (760) 863-0070
Get Directions

FOOT AND ANKLE ASSOCIATES OF THE DESERT is a foot and ankle surgery podiatrist in Indio, CA. FOOT AND ANKLE ASSOCIATES OF THE DESERT NPI is 1649487992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

81709 DR CARREON BLVD
STE D3
INDIO, CA
ZIP 92201-509
Phone: (760) 863-0070
Fax: (760) 863-0048

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

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/7/2009.


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 SurgeryE4495CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y05745MEDICARE UPINCALIFORNIA
2ZZZ28495ZMEDICARE PINCALIFORNIA
3000E44950MEDICAIDCALIFORNIA
45222190001MEDICARE NSCCALIFORNIA

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.