DESERT PATHOLOGY MEDICAL GROUP, INC. (NPI# 1205898475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205898475 |
| Entity Type | Organization |
| Organization Name | DESERT PATHOLOGY MEDICAL GROUP, INC. |
| Practice Address |
1150 N Indian Canyon Dr Desert Regional Med Ctr Pathology Dept Palm Springs CA 92262-4872 |
| Mailing Address |
14275 Midway Road Suite 400 Addison TX 75001-3676 |
| Practice Telephone | 7603236198 |
| Practice Fax Number | 7603236195 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | NATHAN SHERMAN (OWNER/PARTNER) |
| Authorized Official Telephone | 7038026900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0058480 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DESERT PATHOLOGY MEDICAL GROUP, INC | 8401 Fallbrook Ave, West Hills, CA 91304-3226 |
| Street Address |
1150 N INDIAN CANYON DR DESERT REGIONAL MED CTR PATHOLOGY DEPT |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567366 | Joline H Abrahams | Pathology | 1150 N Indian Canyon Dr, Dept of Pathology, Palm Springs, CA 92262-4872 | 2005-09-08 |
| 1548860687 | Claudimar Hernandez Brenner | Nurse Practitioner | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-10-28 |
| 1700402005 | Joel T Comer | Nurse Anesthetist, Certified Registered | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-23 |
| 1619592235 | Anh The Luong | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-09 |
| 1124643960 | Tyler Andrew Peterson | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-08 |
| 1134742703 | Desert Physicians Medical Group Health | Internal Medicine | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-18 |
| 1114549003 | Pragati Hitesh Mamtora | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-13 |
| 1295357275 | Kathleen Fleming | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-12 |
| 1154943330 | Ulysses Rivero Garcia | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-05-11 |
| 1821618778 | Nina Nhu-y Duong Nguyen | Nurse Anesthetist, Certified Registered | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642988 | Eric Yeung | Pathology | 233 Coral View St, Monterey Park, CA 91755-5647 | 2020-06-07 |
| 1164058640 | Sean Dietrich Owens | Pathology | 1219 Harvard Dr, Davis, CA 95616-1710 | 2020-03-17 |
| 1427602036 | Healthcare Clinical Laboratory Inc. | Pathology | 326 N Vermont Ave # B, Los Angeles, CA 90004-3511 | 2019-07-31 |
| 1417509266 | He Yang | Pathology | 23616 Clearidge Dr, Valencia, CA 91354-1620 | 2019-07-11 |
| 1588221899 | Progenabiome, LLC | Pathology | 1845 Knoll Dr, Ventura, CA 93003-7321 | 2019-05-22 |
| 1932624145 | Pogos Martinyan | Pathology | 31344 Via Colinas Ste 104, Westlake Village, CA 91362-6853 | 2017-08-08 |
| 1700326576 | Thomas Wayne Bruice | Pathology | 6783 Palermi Pl, Carlsbad, CA 92011-4062 | 2017-02-27 |
| 1184041501 | Shohei Ikoma | Pathology | 2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 | 2014-03-24 |
| 1376973040 | Pch Diagnostic Center | Pathology | 2990 E. Pacific Coast Hwy, Suite B, Long Beach, CA 90804 | 2013-11-18 |
| 1386949717 | Russell Allen Brown | Pathology | 4180 Network Cir, Sca18-3236, Santa Clara, CA 95054-1778 | 2011-01-15 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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| 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.