H DAVID SACKS DO A PROFESSIONAL MEDICAL CORPORATION (NPI# 1053670372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053670372 |
| Entity Type | Organization |
| Organization Name | H DAVID SACKS DO A PROFESSIONAL MEDICAL CORPORATION |
| Other Organization Name | SACKS WELLNESS CENTER |
| Practice Address |
44751 Village Ct Suite 300 Palm Desert CA 92260-3815 |
| Practice Telephone | 7607799100 |
| Practice Fax Number | 7607798202 |
| Mailing Telephone | 7607799100 |
| Mailing Fax Number | 7607798202 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | DR. HYMAN DAVID SACKS (DIRECTOR) |
| Authorized Official Telephone | 7607799100 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A4920 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sacks Wellness Center | Doing Business As Name - Organization |
| Street Address |
44751 VILLAGE CT SUITE 300 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1831623339 | World Gym of Palm Desert LLC | General Practice | 41651 Corporate Way, Suite 1, Palm Desert, CA 92260-1987 | 2017-04-12 |
| 1720394067 | Randy James Fedorchuk | General Practice | 74130 Country Club Dr Ste 103, Palm Desert, CA 92260-1687 | 2010-08-24 |
| 1144214636 | Marion Ray Windham | General Practice | 74990 Country Club Dr, Suite 310, Palm Desert, CA 92260-1991 | 2005-09-09 |
| 1174155386 | Circe Healthcare Solutions, Inc. | General Practice | 74000 Country Club Dr Ste G2, Palm Desert, CA 92260-1679 | 2020-02-05 |
| 1063959187 | Medical Wellness Group, Inc. | General Practice | 42575 Washington St Fl 2, Palm Desert, CA 92211-8850 | 2017-01-26 |
| 1477971125 | Homayoun Siman | General Practice | 73211 Fred Waring Dr Ste 101, Palm Desert, CA 92260-2888 | 2014-03-31 |
| 1023282134 | Gilbert Mintz | General Practice | 74040 Highway 111, Ste 208, Palm Desert, CA 92260-4134 | 2008-04-18 |
| 1770752560 | Michael R Solomon | General Practice | 36923 Cook St, Suite 102, Palm Desert, CA 92211-6073 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on H DAVID SACKS DO A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.