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Foot And Ankle Associates Of The Desert

Podiatrist, Foot & Ankle Surgery in Indio, CA. Organization (NPI-2).

NPI number1649487992
StatusActive
Last updated in NPPESAug 7, 2009

Details

NPI
1649487992
Entity type
Organization (NPI-2)
Legal business name
Foot And Ankle Associates Of The Desert
Organization subpart
No
Enumeration date
May 17, 2007
Last updated
Aug 7, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryE4495CAYes

Practice location

81709 Dr Carreon Blvd
Ste D3
Indio, CA 92201-5509

Phone 760-863-0070 · Fax 760-863-0048

Mailing address

81709 Dr Carreon Blvd
Ste D3
Indio, CA 92201-5509

Phone 760-863-0070 · Fax 760-863-0048

Authorized official

John E Ebaugh
President
7608630070

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Foot & Ankle Surgery Podiatrist providers in Indio, CA

All 7 Foot & Ankle Surgery Podiatrist providers in Indio · All 1,988 providers in Indio

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