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DESERT MEDICAL GROUP NPI 1811988371


NPI Information

NPI: 1811988371
Provider Name: DESERT MEDICAL GROUP

Doing Business As: DESERT OASIS HEALTHCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0571849

Address:
41120 WASHINGTON ST
BERMUDA DUNES, CA
ZIP 92203
Phone: (760) 360-3193
Get Directions

DESERT MEDICAL GROUP is a family medicine in Bermuda Dunes, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DESERT MEDICAL GROUP NPI is 1811988371. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Desert Oasis Healthcare.

The provider's business location address is:

41120 WASHINGTON ST
BERMUDA DUNES, CA
ZIP 92203-215
Phone: (760) 360-3193
Fax: (760) 320-2725

The provider's authorized official is Helene Leclair .
The authorized official title is Administrator and has the following contact phone number (760) 320-4122.

The CLIA number assigned to this NPI record is 05D0571849 - health maintenance organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 11/20/2007.


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
1207P00000XEmergency MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4213E00000XPodiatristNo
5207Q00000XFamily MedicineYes

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
1ZZZ32567ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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

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