09/13/2012
PAGE:1
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
RON
21ST CENTURY ONCOLOGY OF CALIF, MED CORP
21ST CENTURY ONCOLOGY OF CALIF, MED CORP
77840 FLORA RD PALM DESERT, CA 922114109
(760) 200-8777
SLD
A SLEEP DIAGNOSTIC CENTER OF RANCHO
SLEEP DIAGNOSTIC CENTER OF RANCHO MIRAGE
35900 BOB HOPE DR., STE. 172 RANCHO MIRAGE, CA 922701765
(760) 699-7914
GE
ABDOLLAHZADEH
HOMAN
HOMAN A. ZADEH, MD, MPH, INC
1401 N. PALM CANYON DR. #202 PALM SPRINGS, CA 922624434
(760) 864-4163
GE
ABDOLLAHZADEH
HOMAN
HOMAN ABDOLLAH ZADEH MD., M.P.H.,
1401 N. PALM CANYON DR. #202 PALM SPRINGS, CA 922624434
(760) 864-4163
SLD
ADVANCED SLEEP MEDICINE SERVICES INC
ADVANCED SLEEP MEDICINE SERVICES, INC
555 TACHEVAH, SUITE 2E-202 PALM SPRINGS, CA 92262
(760) 416-3505
ASC
AIRWAY OUTPATIENT SURG CTR
HI_DESERT MEDICAL CENTER
57463 29 PALMS HWY STE 206 YUCCA VALLEY, CA 922842925
(760) 366-6401
NEP
ALDERMAN
DAVID
DESERT NEPHROLOGY MEDICAL GROUP
1180 N. INDIAN CYN DR. #W-303 PALM SPRINGS, CA 922624809
(760) 416-4819
END
ALNABELSI
MOHAMAD
KHALDOUN ALNABELSI, M.D.
39000 BOB HOPE DR. #K-208 RANCHO MIRAGE, CA 922703213
(760) 773-5350
AMB
AMERICAN MEDICAL RESPONSE
AMERICAN MEDICAL RESPONSE
560 WILLIAM RD PALM SPRINGS, CA 922641551
(760) 322-4134
SP
ANDERS
DANA
DANA ANDERS
35900 BOB HOPE DR, STE 140 RANCHO MIRAGE, CA 922701767
(760) 902-5035
PNM
ANDERSON
CHARLES
DESERT PAIN CARE MEDICINE GROUP, INC
1180 N. INDIAN CYN DR. #E-408 PALM SPRINGS, CA 922624809
(760) 969-5200
DME
APRIA HEALTHCARE
APRIA HEALTHCARE, INC
38888 EL DESIERTO RD PALM DESERT, CA 922111164
(760) 200-2918
OM
AUNE-NELSON
BETH AUNE-NELSON, OTR/L
77564 COUNTRY CLUB DR STE 368 PALM DESERT, CA 922110484
(760) 772-2838
UC
AVALON URGENT CARE
AVALON URGENT CARE
58471 TWENTYNINE PALMS #303 YUCCA VALLEY, CA 922845818
(760) 365-0851
BETH
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
09/13/2012
PAGE:2
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
FP
AYOUB, JR
EDMUND
EDMUND AYOUB, JR., M.D., INC
1080 N INDIAN CYN STE 101 PALM SPRINGS, CA 922624870
(760) 327-9400
IM
AZAM
SYED
INDUS MEDICAL ASSOCIATES
35-400 BOB HOPE DR., STE 210 RANCHO MIRAGE, CA 922701774
(760) 202-0686
US
B & B MEDICAL TRANSPORT
B & B MEDICAL TRANSPORT
72317 MERRY VALE WAY PALM DESERT, CA 922606253
(760) 568-4240
IM
BARBOUR
CLAYTON
BORREGO COMMUNITY HEALTH
69175 RAMON RD, BLDG A CATHEDRAL CITY, CA 922343344
(760) 321-6776
NEP
BATARSE
RODOLFO
RODOLFO R BATARSE, MD
71511 HIGHWAY 111, STE H RANCHO MIRAGE, CA 922704465
(760) 773-2200
NEP
BATARSE
RODOLFO
DESERT NEPHROLOGY MEDICAL GROUP
71511 HIGHWAY 111, STE H RANCHO MIRAGE, CA 922704465
(760) 773-2200
FP
BATTIE
RAYMOND
TOTAL HEALTH MEDICAL OF THE DESERT, CORP
1100 N PALM CYN DR # 205 PALM SPRINGS, CA 922624426
(760) 323-4296
PD
BAUTISTA
ALEJANDRO
VALLEY COMPREHENSIVE MEDICAL GROUP
81715 DR. CARREON BLVD. STE B1 INDIO, CA 922015564
(760) 347-1850
POD
BEAN
AARON
AARON S BEAN DPM, INC
47647 CALEO BAY DR STE 200 LA QUINTA, CA 922538854
(760) 777-8282
HMD
BERMUDA DUNES DIALYSIS
CHANNEL DIALYSIS, LLC
78030 WILDCAT DR PALM DESERT, CA 922111116
(760) 200-9838
DME
BURNEY HEARING AID CENTER
BURNEY HEARING AID CENTER, INC
1005 N. PALM CANYON DR. PALM SPRINGS, CA 922624419
(760) 323-8405
FP
CAMPOS
BORREGO COMMUNITY HEALTH
69175 RAMON RD, BLDG A CATHEDRAL CITY, CA 922043344
(760) 321-6776
CD
CARDIOLOGY PANEL-RANCHO MIRAGE
MELVIN GONZALEZ MD INC
34160 GATEWAY DR STE 100 PALM DESERT, CA 922110852
(760) 770-8678
DME
CARDIONET, INC.
CARDIONET, INC.
227 WASHINGTON STREET 210 CONSHOHOCKEN, PA 194282086
(866) 426-4402
ERNESTO
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09/13/2012
PAGE:3
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
OPR
CARLSON
RETINA CONSULTANTS OF SO CAL MED ASSOC
39000 BOB HOPE DR. RIGHT #105 RANCHO MIRAGE, CA 922703221
(760) 779-5850
HMD
CATHEDRAL CITY DIALYSIS
DOLORES DIALYSIS, LLC
30885 DATE PALM DR CATHEDRAL CITY, CA 922342958
(760) 202-3491
FP
CATLETT
STEVEN
SANTA ROSA DEL VALLE
1293 6TH STREET COACHELLA, CA 922361707
(760) 391-5151
OPR
CHAN
CLEMENT
SOUTHERN CALIF DESERT RETINA CONSULTANTS
340 S. FARRELL DR. STE A-105 PALM SPRINGS, CA 922627921
(760) 327-6225
NEP
CHANDRASHEKAR
JAMBUR
VALLEY COMPREHENSIVE MEDICAL GROUP
81719 DR. CARREON BLVD #A INDIO, CA 922015518
(760) 347-0707
NEP
CHANDRASHEKAR
JAMBUR
CHANDRASHEKAR MEDICAL
81719 DR. CARREON BLVD #A INDIO, CA 922015518
(760) 347-0707
IM
CHANDRASHEKAR
JAMBUR
VALLEY COMPREHENSIVE MEDICAL GROUP
81719 DR. CARREON BLVD STE. A INDIO, CA 922015518
(760) 347-0707
NEP
CHANDRASHEKAR
NARENDRA
NSC MEDICAL CORP
81719 DR. CARREON BLVD STE. A INDIO, CA 922015518
(760) 347-0707
NEP
CHANDRASHEKAR
NARENDRA
NAREN S CHANRASHEKAR
81719 DR. CARREON BLVD STE. A INDIO, CA 922015518
(760) 347-0707
DME
COACHELLA VALLEY ORTHO
COACHELLA VALLEY ORTHOPEDIC
75-150 SHERYL AVE # A PALM DESERT, CA 922605118
(760) 345-4779
PD
COHEN
BERNARD
COHEN, MUSCH, THOMAS MEDICAL GROUP
555 TACHEVAH STE 1W-204 PALM SPRINGS, CA 922625785
(760) 323-9818
PD
COHEN
BERNARD
SEAN R THOMAS, M.D., INC.
555 TACHEVAH STE 1W-204 PALM SPRINGS, CA 922625785
(760) 323-9818
POD
COLLIS
SHELDON
DESERT PODIATRY GROUP
39730 HWY 111, STE. #101 RANCHO MIRAGE, CA 922702887
(760) 328-4669
ON
COMPREHENSIVE CANCER CENTER PHYSICIANS
FOR VENDOR INFO CALL PROVIDER
1180 N INDIAN CYN DR # E-218 PALM SPRINGS, CA 922624885
(760) 416-4880
JOHN
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
09/13/2012
PAGE:4
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
HHA
CRESCENT HEALTHCARE, INC
CRESCENT HEALTHCARE, INC
2010 IOWA AVE,STE 110 RIVERSIDE, CA 925077406
(800) 735-4872
HHA
CRESCENT-WALGREENS INFUSION SERV
CRESCENT HEALTHCARE, INC
2010 IOWA AVE,STE 110 RIVERSIDE, CA 925077406
(800) 735-4872
PCY
CURASCRIPT PHARMACY
CURASCRIPT PHARMACY
7101 TPC DR STE 150 ORLANDO, FL 328225105
(888) 773-7376
IM
CURRY
FRANK
SANTA ROSA DEL VALLE
1293 6TH STREET COACHELLA, CA 922364559
(760) 391-5151
GP
CYRUS
ANDREW
BORREGO COMMUNITY HEALTH
69175 RAMON RD, BLDG A CATHEDRAL CITY, CA 922343344
(760) 321-6776
GP
CYRUS
ANDREW
SANTA ROSA DEL VALLE
69175 RAMON RD, BLDG A CATHEDRAL CITY, CA 922343344
(760) 321-6776
IM
DARAWAL
ASSAD
ASSAD U DARAWAL, MD, INC
81-893 DR. CARREON BLVD. STE 1 INDIO, CA 922015592
(760) 342-8005
IM
DARAWAL
ASSAD
ASSAD DARAWAL, MD
81-893 DR. CARREON BLVD. STE 1 INDIO, CA 922015592
(760) 342-8005
FP
DE LEON
ANDRE
EISENHOWER MEDICAL CENTER
42280 SEELY DR LA QUINTA, CA 922536834
(760) 834-7920
CH
DELAIRE
RONALD
DR. RONALD J. DELAIRE
27620 LANDAU BLVD., STE. #1 CATHEDRAL CITY, CA 922345540
(760) 320-4123
END
DELLER
JOHN
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR. STE 100 RANCHO MIRAGE, CA 922704150
(760) 773-9750
R
DESERT ADVANCED IMAGING- BERMUDA DUNES
DESERT ADVANCED IMAGING MEDICAL CENTER
41120 WASHINGTON BLVD, 2ND FL. BERMUDA DUNES, CA 922019215
(760) 200-4168
R
DESERT ADVANCED IMAGING- PALM DESERT
DESERT ADVANCED IMAGING MEDICAL CENTER
72855 FRED WARING DR. PALM DESERT, CA 922609368
(760) 837-1420
R
DESERT ADVANCED IMAGING- PALM SPRG
DESERT ADVANCED IMAGING MEDICAL CENTER
2601 TAHQUITZ CYN WAY PALM SPRINGS, CA 922627015
(760) 318-2980
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
09/13/2012
PAGE:5
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
R
DESERT ADVANCED IMAGING- RANCHO
DESERT ADVANCED IMAGING MEDICAL CENTER
35800 BOB HOPE DR. #B-105 RANCHO MIRAGE, CA 922701740
(760) 770-1920
R
DESERT ADVANCED IMAGING-INDIO
DESERT ADVANCED IMAGING MEDICAL CENTER
80880 DR. CARREON BLVD #A-102 INDIO, CA 922015517
(760) 863-3857
R
DESERT ADVANCED P.E.T. CENTER
DESERT ADVANCED IMAGING MEDICAL CENTER
2601 TAHQUITZ CYN WAY PALM SPRINGS, CA 922627015
(760) 318-2980
US
DESERT COMM TRANSPORTATION
DESERT COMMUNITIES TRANS SERVICES, LLC
61834 ALTA LOMA ST JOSHUA TREE, CA 922522656
(760) 362-3735
OTO
DESERT ENT
DESERT EAR, NOSE & THROAT MEDICAL GROUP
39000 BOB HOPE DR # W-301 RANCHO MIRAGE, CA 922707036
(760) 340-4566
OTO
DESERT ENT BALANCE INSTITUTE
DESERT EAR, NOSE & THROAT MEDICAL GROUP
39000 BOB HOPE DR STE W-301 RANCHO MIRAGE, CA 922707036
(760) 340-4566
HEM
DESERT HEMATOLOGY ONCOLOGY
DESERT HEMATOLOGY ONCOLOGY MEDICAL GROUP
39800 BOB HOPE DRIVE RANCHO MIRAGE, CA 922703947
(760) 568-3613
OS
DESERT HYPERBARIC MEDICINE
DESERT HYPERBARIC MEDICINE
39935 VISTA DEL SOL STE 101A RANCHO MIRAGE, CA 922703221
(760) 773-3899
DME
DESERT PROSTHETICS & ORTHOTICS
DESERT PROSTHETICS & ORTHOTICS GROUP
68860 PEREZ RD. STE. G CATHEDRAL CITY, CA 922347249
(760) 770-4620
HSP
DESERT REGIONAL MED CENTER
DESERT REGIONAL MEDICAL CENTER
1150 N INDIAN CANYON PALM SPRINGS, CA 922624872
(760) 323-6511
SLD
DESERT SLEEP INSTITUTE
ANTOINE EL HAJJAR, MD, INC
41990 COOK ST, STE A-102 PALM DESERT, CA 922116101
(760) 340-0528
UC
DESERT URGENT CARE
SANTA ROSA DEL VALLE
74990 COUNTRY CLUB DR STE 310 PALM DESERT, CA 922601991
(760) 341-8800
UC
DESERT VIP URGENT CARE
DESERT VIP URGENT CARE
72-630 FRED WARING DR STE 101 PALM DESERT, CA 922605003
(760) 674-1923
UC
DESERT VIP URGENT CARE- PALM SPRINGS
DESERT VIP URGENT CARE
100 S SUNRISE WAY STE A PALM SPRINGS, CA 922626778
(760) 969-5999
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09/13/2012
PAGE:6
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
ID
DEZFULI
MASSOUD
EISENHOWER MEDICAL CENTER
39000 BOB HOPE DR LUCY CURCI RANCHO MIRAGE, CA 922703221
(760) 834-3545
ID
DEZFULI
MASSOUD
MASSOUD G. DEZFULI D O INC
39000 BOB HOPE DR LUCY CURCI RANCHO MIRAGE, CA 922703221
(760) 834-3545
ID
DEZFULI
MASSOUD
MASSOUD G. DEZFULI, DO
39000 BOB HOPE DR LUCY CURCI RANCHO MIRAGE, CA 922703221
(760) 834-3545
US
DISABLED MEDICAL TRANSPORTATION
DISABLED MEDICAL TRANSPORTATION SERV INC
44489 TOWN CENTER WAY #D-231 PALM DESERT, CA 922602789
(760) 360-2068
SLD
DREAM LAB
JOHN J. FINAZZO, M.D.
74960 HWY 111 INDIAN WELLS, CA 922107117
(760) 773-0762
US
EARS HEARING HEALTHCARE
EARS HEARING HEALTH CARE, INC
81833 DR. CARREON BLVD #1 INDIO, CA 922015517
(760) 775-1113
POD
EBAUGH
JOHN
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR STE 100 RANCHO MIRAGE, CA 922704150
(760) 773-9750
OBS
EDES
ELLIOT
INLAND EMPIRE FERTILITY CENTER MED GROUP
69265 RAMON RD., STE B1 CATHEDRAL CITY, CA 922346015
(760) 770-5880
DME
EDGEPARK MEDICAL SUPPLIES
EDGEPARK MEDICAL SUPPLIES
1810 SUMMIT COMMERCE PARK TWINSBURG, OH 440872300
(800) 321-0591
TS
EHRMAN
WALTER J. EHRMAN, M.D.
1180 N. INDIAN CYN DR., #E-218 PALM SPRINGS, CA 922624809
(760) 416-4833
HSP
EISENHOWER MEDICAL CENTER
EISENHOWER MEDICAL CENTER
39000 BOB HOPE DR. RANCHO MIRAGE, CA 922703221
(760) 340-3911
HSP
EISENHOWER MEDICAL CENTER
EISENHOWER MED CTR PRO FEES
39000 BOB HOPE DR. RANCHO MIRAGE, CA 922703221
(760) 340-3911
UC
EISENHOWER URGENT CARE PALM SPRINGS
EISENHOWER MEDICAL CENTER
151 SOUTH SUNRISE WAY PALM SPRINGS, CA 922620118
(760) 969-7780
N
EL HAJJAR
ANTOINE EL HAJJAR, MD, INC
41990 COOK ST, STE A-102 PALM DESERT, CA 922116101
(760) 340-0528
WALTER
ANTOINE
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09/13/2012
PAGE:7
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
ASC
EL MIRADOR SURGICAL CENTER-PALM SPRINGS
DESERT REGIONAL MEDICAL CENTER
1180 N. INDIAN CANYON DR PALM SPRINGS, CA 922634880
(760) 416-4600
NEP
ERLANGER
NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC
1100 N. PALM CYN DR. #210 PALM SPRINGS, CA 922625504
(760) 323-1155
LAB
ESOTERIX GENETIC LABORATORIES, LLC
ESOTERIX GENETIC LABORATORIES, LLC
PO BOX 223671 PITTSBURGH, PA 152512671
(800) 872-3572
IM
EVANS
SEAN R THOMAS, M.D., INC.
55585 29 PALMS HWY YUCCA VALLEY, CA 922842505
(760) 228-3366
P
FACULTY PHYS AND SURG-LLU BEAHVIORAL MC
FOR VENDOR INFO CALL PROVIDER
TS
FARSAD
REZA
G. REZA H. FARSAD, M.D.
1401 N. PALM CYN DR. #103 PALM SPRINGS, CA 922624434
(760) 320-3538
VS
FARSAD
REZA
G. REZA H. FARSAD, M.D.
1401 N. PALM CANYON DR. #103 PALM SPRINGS, CA 922624434
(760) 320-3538
PTH
FAUSEL
RICHARD
RICHARD E FAUSEL, DO, APC
39700 BOB HOPE DR STE 216 RANCHO MIRAGE, CA 922703267
(760) 779-9353
FP
FAYSSOUX
KULWINDER
EISENHOWER MEDICAL CENTER
45280 SEELEY DR, 2ND FLOOR LA QUINTA, CA 922536834
(760) 834-7920
IM
FERNANDEZ
ZARAH
VALLEY COMPREHENSIVE MEDICAL GROUP
81719 DR CARREON BLVD, STE A-1 INDIO, CA 922015518
(760) 347-0707
OTO
FINAZZO
JOHN
JOHN J. FINAZZO, M.D.
73950 ALESSANDRO DR. #4 PALM DESERT, CA 922603637
(760) 773-0762
PT
FORGERON
JAY
FORGERON PHYSICAL THERAPY
81557 DR. CARREON BVLD C-8 INDIO, CA 922015517
(760) 775-5511
PT
FORGERON
JAY
DESERT CITIES THERAPY CENTER
555 TACHEVAH 1E-201 PALM SPRINGS, CA 922625733
(760) 778-7150
IM
GARCIA
MARIA I.
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR.STE 100 RANCHO MIRAGE, CA 922704150
(760) 773-9750
HOWARD
ROBERT
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
(909) 558-4440
09/13/2012
PAGE:8
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
GS
GERING
SCOTT
SCOTT GERING, MD COLON & RECTAL MED GRP
39000 BOB HOPE DR. K-403 RANCHO MIRAGE, CA 922703221
(760) 346-5551
PUD
GHARGHOURY
AYAD
AYAD M. GHARGHOURY, MD, INC.
58383 29 PALMS HWY #100 YUCCA VALLEY, CA 922845891
(760) 228-5864
DME
GIBRALTAR HEALTHCARE SUPPLIES
GILBRALTAR HEALTHCARE SUPPLIES, LLC
20944 SHERMAN WAY STE 204 CANOGA PARK, CA 91303
(818) 348-8911
DME
GILBRALTER HEALTHCARE SUPPLIES
GILBRALTAR HEALTHCARE SUPPLIES, LLC
20944 SHERMAN WAY STE 204 CANOGA PARK, CA 913033661
IM
GORMAN
STEVEN
STEVEN P GORMAN, MD INC
78-150 CALLE TAMPICO STE 100 LA QUINTA, CA 922532907
(760) 564-1886
IM
GORMAN
STEVEN
STEVEN P. GORMAN, M.D.
78-150 CALLE TAMPICO STE 100 LA QUINTA, CA 922532907
(760) 564-1886
RON
GREENBERG
PETER
21ST CENTURY ONCOLOGY OF CALIF, MED CORP
40055 BOB HOPE DR., SUITE B RANCHO MIRAGE, CA 922703940
(760) 202-3946
RHU
GREENWALD
MARIA
MARIA GREENWALD, M.D.
72855 FRED WARING DR. #A-6 PALM DESERT, CA 922609369
(760) 341-9638
END
GULERIA
PUSHPINDER
PUSHPINDER S. GULERIA, M.D.
1140 N INDIAN CYN DR STE 100 PALM SPRINGS, CA 922624872
(760) 323-6881
TS
GUNDRY
STEVEN
STEVEN R. GUNDRY, M.D., A MED CORP
555 TACHEVAH DR., #3W-103 PALM SPRINGS, CA 922625747
(760) 323-5553
GYN
GURWITT
LES
LES J GURWITT, MD A MEDICAL CORPORATION
72780 COUNTRY CLUB DR, STE A-1 RANCHO MIRAGE, CA 922704126
(760) 779-5511
GYN
GURWITT
LES
LAS PALMAS OBGYN
72780 COUNTRY CLUB DR, STE A-1 RANCHO MIRAGE, CA 922704126
(760) 779-5511
GE
GUTIERREZ
JORGE
JORGE G. GUTIERREZ, MD, A MEDICAL CORP
1100 N. PALM CYN DR. #105 PALM SPRINGS, CA 922624418
(760) 320-3383
GE
GUTIERREZ
JORGE
EMERGENCY ASSOCIATES CORP
1100 N. PALM CYN DR. #105 PALM SPRINGS, CA 922624418
(760) 320-3383
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09/13/2012
PAGE:9
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
TS
HABIBIPOUR
DESERT HEART INSTITUTE, INC
1180 N. INDIAN CYN #E-318 PALM SPRINGS, CA 922624809
(760) 416-1376
DME
HANGER PROSTHETICS & ORTHOTICS
HANGER PROSTHETICS & ORTHOTICS WEST, INC
69730 HWY 111, STE. 107 RANCHO MIRAGE, CA 922702869
(760) 328-6575
PDC
HASHMI
AIJAZ
AIJAZ HASHMI, MD, INC
555 E TACHEVAH DR. #1E-318 PALM SPRINGS, CA 922625750
(760) 318-8100
PRS
HAYDUKE
ANDREW
ANDREW J. HAYDUKE, M.D., A PROF CORP
39000 BOB HOPE DR., #K-206 RANCHO MIRAGE, CA 922703213
(760) 341-6996
PRS
HAYDUKE
ANDREW
ANDREW J. HAYDUKE M. D.
39000 BOB HOPE DR., #K-206 RANCHO MIRAGE, CA 922703213
(760) 341-6996
DME
HEALTH ESSENTIALS
RX ESSENTIALS LLC
3303 HARBOR BLVD, STE C2 COSTA MESA, CA 926261518
(714) 627-0100
TS
HENGESH
JOHN
CARDIOTHORACIC PHYSICIAN SPECIALISTS
1180 N. INDIAN CYN DR. #E-318 PALM SPRINGS, CA 922624809
(760) 416-1376
PD
HERNANDEZ
JAVIER
BORREGO COMMUNITY HEALTH
69175 RAMON RD, STE A CATHEDRAL CITY, CA 922343344
(760) 321-6776
FP
HERNANDEZ
SALVADOR
INTERNAL MEDICINE SPECIALISTS, INC
82900 AVE 42, STE 100 INDIO, CA 922039658
(760) 773-9750
U
HERZ
JEFFREY
JEFFREY HERZ, M.D.
1100 N. PALM CYN DR., #110 PALM SPRINGS, CA 922624418
(760) 346-1882
HSP
HI-DESERT MEDICAL CENTER
HI_DESERT MEDICAL CENTER
6601 WHITE FEATHER RD JOSHUA TREE, CA 922526607
(760) 366-3711
CD
HIMELMAN
RONALD
HIMELMAN CARDIOLOGY
555 TACHEVAH DR., #1W-202 PALM SPRINGS, CA 922625785
(760) 323-2174
FP
HO
VANESSA
EISENHOWER MEDICAL CENTER
45280 SEELY DR, 2ND FLOOR LA QUINTA, CA 922536834
(760) 834-7920
ASC
HOPE SQUARE SURGICAL CENTER
HOPE SQUARE SURGICAL CENTER, LLC
39700 BOB HOPE DR. STE. 301 RANCHO MIRAGE, CA 922703267
(760) 346-7696
SAIED
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:10
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
DME
HOVEROUND CORPORATION
HOVEROUND CORPORATION
6010 CATTERIDGE DR SARASOTA, NC 342326061
(800) 701-5781
RHU
HSU
SHERI
SHERI WEN HSU, MD INC
47647 CALEO BAY DRIVE, SUITE 2 LA QUINTA, CA 922538854
(760) 777-8282
PD
HULBERT
NIHRA
SANTA ROSA DEL VALLE
1293 6TH STREET COACHELLA, CA 922361707
(760) 391-5151
FP
HUOT
JAMES
BORREGO COMMUNITY HEALTH
4343 YAQUI PASS RD BORREGO SPRINGS, CA 920045000
(760) 767-5051
HMD
INDIO DIALYSIS CENTER
TOTAL RENAL CARE, INCL
46767 MONROE ST., STE. 101 INDIO, CA 922015593
(866) 611-0807
RON
JACKSON
JUDY
RADIATION ONCOLOGY PHYSICIANS INC
1180 N INDIAN CYN DR STE E-218 PALM SPRINGS, CA 922624809
(760) 416-4770
IM
JAMES
PATRICIA
PATRICIA L JAMES, MD INC
36921 COOK ST, STE 102 PALM DESERT, CA 922116070
(760) 836-9066
GS
JAMIESON
PETER
PETER M JAMIESON, MD INC
555 TACHEVAH DR STE 1W201 PALM SPRINGS, CA 922625785
(760) 866-0011
FP
JODOIN
V. DOUGLAS
V. DOUGLAS JODOIN, M.D., INC.
39000 BOB HOPE DR., STE W-208 RANCHO MIRAGE, CA 922703221
(760) 773-3950
HSP
JOHN F. KENNEDY MEMORIAL HOSPITAL
JOHN F. KENNEDY MEMORIAL HOSPITAL
47111 MONROE ST INDIO, CA 922016739
(760) 347-6191
PTH
KAMINSKY
DAVID
PALM SPRINGS PATHOLOGY SERVICES
1401 N. PALM CYN DR. STE. 203 PALM SPRINGS, CA 922624434
(760) 327-6777
PTH
KAMINSKY
DAVID
DESERT EAR, NOSE & THROAT MEDICAL GROUP
1401 N. PALM CYN DR. STE. 203 PALM SPRINGS, CA 922624434
(760) 327-6777
U
KAUFMAN
MARK
MARK F. KAUFMAN, MD
39000 BOB HOPE DR. #B-1202 RANCHO MIRAGE, CA 922703221
(760) 346-3851
IM
KAZI
MANZOOR
PALM DESERT URGENT CARE
73-345 HWY 111 STE 101 PALM DESERT, CA 922603909
(760) 340-5800
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:11
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
ID
KERKAR
SHUBHA KERKAR, MD
1180 N. INDIAN CYN DR. #E-218 PALM SPRINGS, CA 922624885
(760) 416-4921
HMD
KIDNEY INSTITUTE AT EMC
KIDNEY INSTITUTE @ EISENHOWER MED CTR
39000 BOB HOPE DR, STE P-103 RANCHO MIRAGE, CA 922707018
(760) 837-9696
HMD
KIDNEY INSTITUTE AT EMC
KIDNEY INSTITUTE AT EMC
39000 BOB HOPE DR, STE P-103 RANCHO MIRAGE, CA 922707018
(760) 837-9696
HMD
KIDNEY INSTITUTE OF THE DESERT
KIDNEY INSTITUE OF THE DESERT LLC
81715 DR CARREON BLVD STE B-2 INDIO, CA 922015517
(760) 347-8181
HMD
KIDNEY INSTITUTE OF THE DESERT
KIDNEY INSTITUTE OF THE DESERT
81715 DR CARREON BLVD STE B-2 INDIO, CA 922015517
(760) 347-8181
OS
KLUGE
DONALD
IMAGE PROSTHETICS
11306 MOUNTAIN VIEW AVE LOMA LINDA, CA 92954
(909) 478-9081
NPM
KNUDSON
RICHARD
PEDIATRIX MEDICAL GROUP OF CALIF, APC
1150 N INDIAN CYN DR PALM SPRINGS, CA 922624872
(760) 323-6511
PNM
LAI
ALBERT
DESERT PAIN & REHABILITATION
72-780 COUNTRY CLUB DR RANCHO MIRAGE, CA 922704150
(760) 341-5550
PD
LAIW
BELL
BELL C LAIW
81-709 DR. CARREON BLVD., #E-2 INDIO, CA 922015589
(760) 347-0903
OPR
LALEZARY
MAZIAR
SOUTHERN CALIF DESERT RETINA CONSULTANTS
36949 COOK ST STE 101 PALM DESERT, CA 922116080
(760) 340-2394
PT
LANGFORD
ROBERT
DESERT CITIES THERAPY CENTER
72880 FRED WARING DR., #B-7 PALM DESERT, CA 922609375
(760) 340-4050
SNF
LEGACY HEALTHCARE
SAN BERNARDINO CONVALESCENT OPERATIONS
1335 WATERMAN AVE SAN BERNARDINO, CA 924045385
(909) 855-0268
FP
LEON
BORREGO COMMUNITY HEALTH
69175 RAMON RD, BLDG A CATHEDRAL CITY, CA 922343344
(760) 321-6776
DME
LIFECARE SOLUTIONS
LIFECARE SOLUTIONS, INC
1440 S. VICTORIA CT SAN BERNARDINO, CA 924082831
(760) 343-7921
SHUBHA
GINGER
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PAGE:12
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
OPR
LIN
STEVEN
SOUTHERN CALIF DESERT RETINA CONSULTANTS
340 S. FARRELL DR. STE. A-105 PALM SPRINGS, CA 922627921
(760) 327-6225
IM
LIPTON
PETER
PETER J. LIPTON, MD
73733 FRED WARING DR. #204 PALM DESERT, CA 922602591
(760) 776-9511
AN
LIS
ROBERT
DESERT ANESTHESIA MED GRP
39000 BOB HOPE DR. RANCHO MIRAGE, CA 92270
AN
LIS
ROBERT
LIS, ROBERT
39000 BOB HOPE DR. RANCHO MIRAGE, CA 92270
IM
LOPEZ
CARLOS
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR. STE 100 RANCHO MIRAGE, CA 922704150
(760) 773-9750
FP
LOPEZ
DANIEL
DANIEL LOPEZ, MD, INC
41-120 WASHINGTON ST., STE 102 BERMUDA DUNES, CA 922039596
(760) 200-2477
N
LUTHRA
INDERMOHAN
DR. INDERMOHAN S LUTHRA, MD, INC
35400 BOB HOPE DR STE 206 RANCHO MIRAGE, CA 922701774
(760) 328-7500
IM
MAGTIBAY
CARLO
VALLEY COMPREHENSIVE MEDICAL GROUP
81719 DR CARREON BLVD, STE A-1 INDIO, CA 922015518
(760) 347-0707
IM
MAHDAVI
HESSAM
EISENHOWER MEDICAL CENTER
42280 SEELY DR LA QUINTA, CA 922536834
(760) 834-7920
PD
MALEKSHAMRAN
KEYVAN
BORREGO COMMUNITY HEALTH
69175 RAMON RD, STE A CATHEDRAL CITY, CA 922343344
(760) 321-6776
SNF
MANOR CARE
MANOR CARE OF PALM DESERT CA, LLC
74350 COUNTRY CLUB DR PALM DESERT, CA 922601608
(760) 341-0261
POD
MARTA
DENNIS
DENNIS LEE MARTA, DPM
2145 TAHQUITZ CYN STE 1 PALM SPRINGS, CA 922627020
(760) 325-1321
RON
MASEK
THEODORE
21ST CENTURY ONCOLOGY OF CALIF, MED CORP
77840 FLORA ROAD PALM DESERT, CA 922114109
(760) 200-8777
US
MEDICAL WEIGHT CONTROL
R.A. BATTIE, M.D., INC.
73730 HWY 111, STE. 1 PALM DESERT, CA 922604018
(760) 568-1000
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PAGE:13
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
PD
MEJIA
PALM DESERT PEDIATRICS INC
73950 ALESSANDRO DR, STE S PALM DESERT, CA 922603637
(760) 341-9906
EM
MEMORIAL EMERG PHYS MED GRP
MEMORIAL EMERG PHYS MED GRP
47111 MONROE ST INDIO, CA 922012023
(818) 462-0990
IM
MESSNER
LYNNE
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR STE 100 RANCHO MIRAGE, CA 922704150
(760) 773-9750
PD
MILLAN
ERNESTO
UNIQUE PEDIATRICS
39000 BOB HOPE DR. STE., K-211 RANCHO MIRAGE, CA 922703215
(760) 776-5620
D
MILLIGAN
MICHAEL
MICHAEL P. MILLIGAN, M.D., INC
35200 BOB HOPE DR. RANCHO MIRAGE, CA 922701748
(760) 328-8884
DME
MINI PHARMACY
MINI PHARMACY ENTERPRISES, INC
4050 E. OLYMPIC BLVD LOS ANGELES, CA 900233331
(888) 545-6464
PNM
MINKOFF
DESERT PAIN & REHABILITATION
71843 HWY 111 STE. A RANCHO MIRAGE, CA 922704418
(760) 341-5550
ASC
MIRAGE ENDOSCOPY CENTER
MIRAGE ENDOSCOPY CENTER, LP
39935 VISTA DEL SOL RD STE 101 RANCHO MIRAGE, CA 922703227
(760) 837-9210
PD
MIZRAHI
LEON
BORREGO COMMUNITY HEALTH
69175 RAMON RD, STE A CATHEDRAL CITY, CA 922343344
(760) 321-6776
PUD
MOJARAD
MOHAMMAD
MOHAMMAD MOJARAD, MD
81709 DR. CARREON BLVD #C-2 INDIO, CA 922015577
(760) 347-8482
OPR
MONSHIZADEH
RAMIN
MEDICAL CONSULTANTS OF SOUTHERN CAL INC
8577 HAVEN AVE STE 208 RANCHO CUCAMONGA, CA 917304850
(909) 944-5353
SNF
MONTEREY PALMS HEALTH & REHAB
MONTEREY PALMS HEALTH AND REHAB CENTER
44610 MONTEREY AVE PALM DESERT, CA 922603326
(760) 773-5151
GYN
MONTZ
AGNES
AGNES,MONTZ,M.D
39000 BOB HOPE DR. #P-214 RANCHO MIRAGE, CA 922707025
(760) 346-5670
OM
MORGAN
JUDITH
JUDY MORGAN MS CCC/SLP, INC
74092 SCHOLAR LANE WEST PALM DESERT, CA 922112073
(760) 772-7545
METHUSA
EVAN
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PAGE:14
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
OM
MORGAN
JUDITH
JUDITH LYNN MORGAN
74092 SCHOLAR LANE WEST PALM DESERT, CA 922112073
(760) 772-7545
FP
MORGAN
YVONNE
YVONNE MORGAN, MD, INC
1080 N INDIAN CANYON STE 200 PALM SPRINGS, CA 922624871
(760) 318-0067
FP
MORGAN
YVONNE
YVONNE MORGAN, M.D.
1080 N INDIAN CANYON STE 200 PALM SPRINGS, CA 922624871
(760) 318-0067
AMB
MORONGO BASIN AMBULANCE
MORONGO BASIN AMBULANCE
6335 PARK BLVD JOSHUA TREE, CA 922522328
(760) 366-8474
IM
MOSTYN
MICHAEL
SANTA ROSA DEL VALLE
1293 6TH STREET COACHELLA, CA 922361707
(760) 391-5151
PD
MUSCH
GERMAN
COHEN, MUSCH, THOMAS MEDICAL GROUP
555 TACHEVAH STE 1W-204 PALM SPRINGS, CA 922625785
(760) 323-9818
PD
MUSCH
GERMAN
SEAN R THOMAS, M.D., INC.
555 TACHEVAH STE 1W-204 PALM SPRINGS, CA 922625785
(760) 323-9818
LAB
MYRIAD GENETIC LAB
MYRIAD GENETIC LABORATORIES, INC.
320 WAKARA WAY SALT LAKE CITY, UT 841081214
(800) 469-7423
GE
NATH
BADRI
NATH MEDICAL CORPORATION
41990 COOK ST., SUITE 201 PALM DESERT, CA 992116100
(760) 773-3100
CH
NAZEMI
NAVID
NAZEMI CHIROPRACTIC CORP
79440 CORPORATE CTR DR STE 118 LA QUINTA, CA 922537241
(760) 771-3200
US
NEIGHBORCARE
NEIGHBORCARE SAN BERNARDINO
730 E. CARNEGIE DR. #150 SAN BERNARDINO, CA 924083511
(800) 442-7300
PNM
NELSON
RANCHO MIRAGE PAIN MANAGEMENT
71780 SAN JACINTO, STE B-3 RANCHO MIRAGE, CA 922703321
(760) 636-1897
NEP
NEPHROLOGY ASSOC AT DESERT ACCESS CTR
NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC
36955 COOK STREET SUITE 101 PALM DESERT, CA 922116084
(760) 836-9005
NEP
NEPHROLOGY ASSOCIATES MEDICAL GROUP
NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC
36955 COOK ST, STE 101 PALM DESERT, CA 922116081
(760) 341-4839
ANTH0NY
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PAGE:15
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
NEP
NGUYEN
CUONG
NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC
1100 N PALM CANYON, STE 210 PALM SPRINGS, CA 922624871
(760) 323-1155
GS
NGUYEN-MINH
NHAT
NHAT CANH NGUYEN-MINH,M.D INC
39000 BOB HOPE DR. K-403 RANCHO MIRAGE, CA 922703213
(760) 346-5551
GP
NOVAK
STEVE
NOVAK URGENT CARE
80545 HIGHWAY 111 INDIO, CA 922018367
(760) 347-9221
UC
NOVAK URGENT CARE
NOVAK URGENT CARE
80545 HWY 111 INDIO, CA 922018368
(760) 347-9221
NPM
NOVALES
JUANITO
PEDIATRIX MEDICAL GROUP OF CALIF, APC
1150 N. INDIAN CANYON PALM SPRINGS, CA 922624872
(760) 323-6511
OPR
NUTHI
ASHA
SOUTHERN CALIF DESERT RETINA CONSULTANTS
340 S. FARRELL DR STE A-105 PALM SPRINGS, CA 922627921
(760) 327-6225
DME
OCULAR PROSTHETICS
OCULAR PROSTHETICS
321 N LARCHMONT BLVD STE 711 LOS ANGELES, CA 900046407
(323) 462-6004
HPC
ODYSSEY HEALTHCARE
ODYSSEY HEALTHCARE OF THE PALM SPRINGS
71777 SAN JACINTO STE. 102 RANCHO MIRAGE, CA 922704457
(760) 346-2816
DME
OMNI MOTION
OMNI MOTION, INC
19167 HWY 18, STE. 6 APPLE VALLEY, CA 923072561
(760) 567-6248
DME
OPTION ONE HOME MEDICAL EQUIP
OPTION ONE HOME MEDICAL EQUIP, INC
1611 JENKS DR CORONA, CA 928802514
(800) 834-1092
ORS
ORTHO INST OF CV-DOUG ROGER, MD
DOUGLAS J. ROGER M.D., A PROF CORP
1180 N INDIAN CYN DR #W-201 PALM SPRINGS, CA 922624876
(760) 416-4511
OBG
PACINI
LILIA
ADVANCED WOMEN'S HEALTHCARE, A MED CORP
1100 N. PALM CYN DR. #212 PALM SPRINGS, CA 922624871
(760) 327-7900
GP
PACOLD
VIVIEN
VIVIEN PACOLD, MD
68100 RAMON RD #C-5 CATHEDRAL CITY, CA 922343390
(760) 321-6068
HMD
PALM DESERT DIALYSIS CENTER
TOTAL RENAL CARE, INCL
41501 CORPORATE WAY PALM DESERT, CA 922601974
(866) 611-0807
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:16
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
UC
PALM DESERT URGENT CARE
PALM DESERT URGENT CARE
73345 HWY 111, STE. #101 PALM DESERT, CA 922603909
(760) 340-5800
HMD
PALM SPRINGS DIALYSIS
DVA RENAL HEALTHCARE, INC.
1061 INDIAN CANYON DR N PALM SPRINGS, CA 922624800
(760) 325-0909
DME
PEGASUS AIRWAVE
PEGASUS AIRWAVE, INC
791 PARK OF COMM BLVD. #500 BOCA RATON, FL 334873630
(800) 443-4325
AC
PERDUE
JAMES
SACRED MOUNTAIN ACUPUNCTURE CLINIC
2150 E TAHQUITZ CYN WAY STE 5 PALM SPRINGS, CA 922626817
(760) 327-3500
OPR
PESAVENTO
RICHARD
RETINA CONSULTANTS OF SO CAL MED ASSOC
39000 BOB HOPE DR #W-105 RANCHO MIRAGE, CA 922703221
(760) 779-5850
WC
PETERSON
SOPHIA
SOFIA PETERSON MD
39000 BOB HOPE DR, BANNON 1109 RANCHO MIRAGE, CA 922703221
(760) 834-3790
WC
PETERSON
SOPHIA
SOPHIA PETERSON, MD
39000 BOB HOPE DR, BANNON 1109 RANCHO MIRAGE, CA 922703221
(760) 834-3790
NPM
PHAKLIDES
WILLIAM
PEDIATRIX MEDICAL GROUP OF CALIF, APC
1150 INDIAN CANYON DR PALM SPRINGS, CA 922624872
(760) 323-6511
SNF
PREMIER CARE CENTER
PREMIER CARE CENTER FOR PALM SPRINGS
2990 E. RAMON RD PALM SPRINGS, CA 922627931
(760) 323-2638
US
PREMIER MEDICAL TRANSPORT
PREMIER MEDICAL TRANSPORTATION, INC
575 MAPLE COURT, STE A COLTON, CA 923243209
(909) 433-3939
PRS
QUARDT
SUZANNE
SUZANNE M QUARDT, MD INC
70017 HWY 111, STE 1 RANCHO MIRAGE, CA 922702999
(760) 324-2660
PRS
QUARDT
SUZANNE
SUZANNE M QUARDT, MD
70017 HWY 111, STE 1 RANCHO MIRAGE, CA 922702999
(760) 324-2660
DIE
QUIGLEY
LIBBY
M.E. QUIGLEY - EQ CONSULTING
74830 BUTTONWOOD PALM DESERT, CA 922602609
(760) 773-1796
HMD
RAI - E 6TH STREET-BEAUMONT
RENAL ADVANTAGE, INC
1536 E 6TH STREET BEAUMONT, CA 922232508
(951) 769-5072
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:17
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
HMD
RAI-CORPORATE WAY-PALM DESERT
RENAL ADVANTAGE, INC
41501 CORPORATE WAY PALM DESERT, CA 922601974
(760) 346-7588
HMD
RAI-INDIAN COURT-REDLANDS
RENAL ADVANTAGE, INC
1210 INDIANA COURT REDLANDS, CA 923742896
(909) 879-1185
HMD
RAI-MONROE-INDIO
RENAL ADVANTAGE, INC
46767 MONROE ST #101 INDIO, CA 922015593
(760) 347-3986
HMD
RAI-NORTH RIVERSIDE-RIALTO
RENAL ADVANTAGE, INC
1180 N RIVERSIDE STE 150 RIALTO, CA 92376
(909) 792-8880
HMD
RAI-NORTH WATERMAN-SAN BERNARDINO
RENAL ADVANTAGE, INC
1500 N WATERMAN AVE SAN BERNARDINO, CA 924045111
(909) 381-1591
AN
RANCHO MIRAGE ANESTHESIOLOGY
RANCHO MIRAGE ANESTHESIOLOGY CONSULTANTS
225 SOUTH LAKE AVENUE STE 535 PASADENA, CA 911013010
(760) 674-2398
R
RANCHO MIRAGE INTERVENTIONAL RADIOLOGY
DESERT ADVANCED IMAGING MEDICAL CENTER
35800 BOB HOPE DR RANCHO MIRAGE, CA 922701739
(760) 770-1920
ASC
RANCHO MIRAGE SURGERY CENTER
RANCHO MIRAGE SURGERY CENTER, LLC
35800 BOB HOPE DR, STE 100 RANCHO MIRAGE, CA 922701739
(760) 699-6500
GS
RECKARD
JUSTIN
JUSTIN MICHAEL RECKARD
39000 BOB HOPE DR, STE K403 RANCHO MIRAGE, CA 922703110
(760) 346-5551
OBG
REKUC
EMILY
EMILY REKUC, DO, INC
79440 CORPORATE CTR DR STE 102 LA QUINTA, CA 922537243
(760) 777-4067
DIE
RICHARDSON
JOY
JOYCELYN KIRKPATRICK RICHARDSON
72790 ARBOLEDA DR PALM DESERT, CA 922609380
(760) 340-6055
PCY
RIVER'S EDGE PHARMACY
RIVER'S EDGE PHARMACY
36919 COOK ST STE 102 PALM DESERT, CA 922116069
(760) 340-3248
EN
ROBERTS
JAY
JAY D ROBERTS M.D INC
73271 FRED WARING DR STE 102 PALM DESERT, CA 922602889
(760) 341-6888
ORS
ROGER
DOUGLAS
DOUGLAS J. ROGER M.D., A PROF CORP
1180 N. INDIAN CYN DR. #W-201 PALM SPRINGS, CA 922624876
(760) 416-4511
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:18
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
PD
ROGERS
ELISA
ELISA S. ROGERS, M.D., INC
1100 N. PALM CANYON DR., #104 PALM SPRINGS, CA 922624418
(760) 327-1188
POD
ROTHSTEIN
ANDREW
DESERT PODIATRY GROUP
69-730 HWY 111, STE. 101 RANCHO MIRAGE, CA 922702873
(760) 328-4669
IM
SABBAH
GHALEB
TOTAL HEALTH MEDICAL OF THE DESERT, CORP
1100 N. PALM CYN DR STE 205 PALM SPRINGS, CA 922624426
(760) 323-4296
N
SALARI-NAMIN
HAMID-REZA
HAMID SALARI-NAMIN M.D
1180 N. INDIAN CYN DR. #W-208 PALM SPRINGS, CA 922624876
(760) 318-0070
FP
SALUJA
JASBIR
JASBIR SALUJA, M.D.
81800 DR. CARREON BLVD #A INDIO, CA 922015595
(760) 347-2665
US
SAN DIEGO GAMMA KNIFE CENTER
SAN DIEGO GAMMA KNIFE CENTER, LP
9834 GENESSE AVE #110 LA JOLLA, CA 920371223
(858) 452-5020
NEP
SANCHEZ
JOSEPH
NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC
1100 N PALM CANYON STE 211 PALM SPRINGS, CA 922624871
(760) 323-1155
IM
SANOYAN
NARIA ROSE
EISENHOWER MEDICAL CENTER
4791 E PALM CANYON DR, STE 100 PALM SPRINGS, CA 922645232
(760) 834-7930
HMD
SANTA MONICA DIALYSIS
DVA RENAL HEALTHCARE, INC.
1260 15TH STREET, STE. 102 SANTA MONICA, CA 904041136
(310) 393-4744
ASC
SEDONA SURGERY CENTER
JOHN F. KENNEDY MEMORIAL HOSPITAL
81812 DR CARREON BLVD # F INDIO, CA 922015594
(760) 775-2225
ASC
SEDONA SURGERY CENTER
SEDONA SURGERY CENTER
81812 DR CARREON BLVD # F INDIO, CA 922015594
(760) 775-2225
OBG
SEHWANI
ADVANCED WOMEN'S HEALTHCARE, A MED CORP
1100 N PALM CAYNON STE 212 PALM SPRINGS, CA 922624871
(760) 327-7900
NTR
SELF HEALTH
SELFHEALTH
74361 HWY 111, SUITE 3 PALM DESERT, CA 922604125
(760) 238-8895
DME
SERENITY
SERENITY
35800 BOB HOPE DR # 245 RANCHO MIRAGE, CA 922701739
(760) 699-8685
SUNAINA
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PAGE:19
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
OPH
SHAAF EYE CENTER
SHAAF EYE CENTER
39000 BOB HOPE DR, STE K-201 RANCHO MIRAGE, CA 922703221
(760) 346-5005
MFC
SHONNON
NANCY
FOR VENDOR INFO CALL PROVIDER
73255 EL PASEO #18 PALM DESERT, CA 922604249
(760) 488-5054
MFC
SILVA
AURORA
FOR VENDOR INFO CALL PROVIDER
45080 GOLF CENTER PKWY STE H INDIO, CA 922017310
(760) 342-8344
SLD
SLEEP DISORDERS OF PALM SPRINGS
SLEEP CENTER OF PALM SPRINGS
1111 E. TAHQUITZ CYN. WAY #110 PALM SPRINGS, CA 922624880
(760) 778-1320
SLD
SLEEP DISORDERS OF PALM SPRINGS
SLEEP DISORDERS OF PALM SPRINGS
1111 E. TAHQUITZ CYN. WAY #110 PALM SPRINGS, CA 922624880
(760) 778-1320
SLD
SLEEP MED
SLEEP MED
72301 COUNTRY CLUB DR. #108 RANCHO MIRAGE, CA 922708007
(760) 346-0553
SLD
SLEEPWISE SLEEP & BEHAVIORAL MED CTR
DAN G WALTERS, MD
1801 E TAHQUITZ CYN WAY STE 20 PALM SPRINGS, CA 922627120
(760) 327-8405
ID
SOMERO
MICHAEL S .SOMERO.MD-A PRO CORP
36923 COOK ST, STE 103 PALM DESERT, CA 922116074
(760) 346-8585
UC
SPECIALTY URGENT CARE
SPECIALTY URGENT CARE, LP
57402 29 PALMS HWY, STE 5 YUCCA VALLEY, CA 922842950
(760) 365-2520
PEO
SPIEGEL
PETER
KIRSHNER & SPIEGAL INC
44435 TOWN CENTER WY #B PALM DESERT, CA 922602789
(760) 322-6002
CH
SPURGIN
DENNIS
DENNIS E. SPURGIN DC
555 TACHEVAH, SUITE 3W-101 PALM SPRINGS, CA 922625747
(760) 327-9402
CH
SPURGIN
KURT
KURT A. SPURGIN, DC
80545 HIGHWAY 111, STE. B INDIO, CA 922018368
(760) 347-6822
CH
SPURGIN
KURT
KURT A. SPURGIN DC
80545 HIGHWAY 111, STE. B INDIO, CA 922018368
(760) 347-6822
HHA
ST. ANTHONY'S HOME CARE
ST. ANTHONY'S HOME CARE, INC.
22365 BARTON RD., #212 GRAND TERRACE, CA 923135071
(909) 885-5357
MICHAEL
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09/13/2012
PAGE:20
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
FP
STANLEY
EDGAR J STANLEY, MD A MEDICAL CORP
1100 N PALM CANYON DR, STE 210 PALM SPRINGS, CA 922624426
(760) 322-7900
US
STATEWIDE EXPRESS
STATEWIDE EXPRESS MED TRANZ, LLC
40194 BOB HOPE DR. RANCHO MIRAGE, CA 922703944
(760) 568-1222
NPM
STEIGER
RALPH
RALPH M STEIGER M.D
1150 N. INDIAN CYN DR PALM SPRINGS, CA 922624872
(760) 321-0607
IM
STEINBERG
ROBERT
ROBERT F. STEINBERG M.D.
41865 BOARDWALK, STE 103 PALM DESERT, CA 922119031
(760) 340-2260
NEP
STEINER
ROBERT
UCSD MEDICAL GROUP
4168 FRONT ST SAN DIEGO, CA 921032030
(619) 543-6248
NEP
STONE
BRYAN
DESERT NEPHROLOGY MEDICAL GROUP
1180 N. INDIAN CYN #W-303 PALM SPRINGS, CA 922624856
(760) 416-4819
NEP
STONE
RICHARD
RICHARD A STONE M.D., INC
39000 BOB HOPE DR. #P-316 RANCHO MIRAGE, CA 922707068
(760) 568-0383
PUD
TANNOUS
ZIAD
ZIAD TANNOUS
1180 N. INDIAN CYN DR. #W-208 PALM SPRINGS, CA 922624800
(760) 323-4416
PUD
TAVAKOLI
SHAHRIYAR
UNITED MEDICAL GROUP, INC.
35900 BOB HOPE DR STE 172 RANCHO MIRAGE, CA 922701765
(760) 699-7161
PUD
TAVAKOLI
SHAHRIYAR
SHAHRIYAR TAVAKOLI, MD
35900 BOB HOPE DR STE 172 RANCHO MIRAGE, CA 922701765
(760) 699-7161
FP
TAYLOR
MURRAY
RANCHO MIRAGE FAMILY MEDICAL GROUP, INC.
39300 BOB HOPE DR. STE B-1105 RANCHO MIRAGE, CA 922703203
(760) 773-3379
FP
THAKUR
CHAHAT
INDROJ MEDICAL GROUP INC
58471 29 PALMS HWY, STE 201 YUCCA VALLEY, CA 922845818
(760) 228-1114
ASC
THE EYE SURGERY CENTER
THE EYE SURGERY CENTER
1900 E. WASHINGTON ST COLTON, CA 923244614
(909) 824-6090
R
THE PET CENTER
DESERT POSITRON IMAGING CENTER, LLC
74785 HWY 111, STE 101 INDIAN WELLS, CA 922107128
(760) 346-4329
EDGAR
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:21
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
FP
THOMAS
SEAN
SEAN R THOMAS, M.D., INC.
6186 ADOBE RD TWENTY NINE PALMS, CA 922772652
(760) 361-8525
FP
THRASHER
KENNETH
EISENHOWER MEDICAL CENTER
45280 SEELY DR 2ND FLOOR LA QUINTA, CA 922536834
(760) 834-7920
FP
TIBB
DALIP
DALIP TIBB, M.D., PROF CORP
79430 HIGHWAY 111, STE 102 LA QUINTA, CA 922534549
(760) 625-0569
NPM
TINSLEY
LARRY
PEDIATRIX MEDICAL GROUP OF CALIF, APC
1150 N INDIAN CYN DR PALM SPRINGS, CA 922624872
(760) 323-6511
IM
TROSTLER
GERALD
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR. #100 RANCHO MIRAGE, CA 922704150
(760) 773-9250
HEM
VAFAI
DAVOOD
DAVOOD VAFAI M.D INCORPORATED
40075 BOB HOPE DR. STE. A RANCHO MIRAGE, CA 922703945
(760) 341-3688
US
VALLEY MEDICAL TRANSPORT
VALLEY MEDICAL TRANSPORTATION
81131 COCO PALM DR INDIO, CA 922013793
(760) 863-1572
HHA
VANURA HOMEHEALTH SERVICES, INC
VANURA HOMEHEALTH SERVICES, INC
1733 N PALM CYN, STE A PALM SPRINGS, CA 922622957
FP
VEEN
JAMES
TOTAL HEALTH MEDICAL OF THE DESERT, CORP
73833 EL PASEO, SUITE 105 PALM DESERT, CA 922604337
AN
VICTOROV
VICTOR
VICTOR VICTOROV MD INC
35800 BOB HOPE DR STE 100 RANCHO MIRAGE, CA 922701739
AN
VICTOROV
VICTOR
DESERT ANESTHESIA MED GRP
35800 BOB HOPE DR STE 100 RANCHO MIRAGE, CA 922701739
PD
VILLARASA
ALEXANDER
ALEXANDER A. VILLARASA, M.D., INC
1801 E. TAHQUITZ CYN WAY #102 PALM SPRINGS, CA 922627121
(760) 327-5900
HHA
VNA- PALM DESERT
VISITING NURSE ASSOC OF INLAND COUNTIES
42600 COOK ST., #202 PALM DESERT, CA 922116107
(760) 346-3982
HHA
VNA-BARSTOW
VISITING NURSE ASSOC OF INLAND COUNTIES
222 EAST MAIN ST STE 112 BARSTOW, CA 923112361
(760) 256-2016
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
(760) 346-5055
09/13/2012
PAGE:22
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
HHA
VNA-HEMET
VISITING NURSE ASSOC OF INLAND COUNTIES
1800 E FLORIDA AVE STE 200 HEMET, CA 925444701
(951) 306-3120
HHA
VNA-YUCCA VALLEY
VISITING NURSE ASSOC OF INLAND COUNTIES
56300 29 PALMS HWY STE 105 YUCCA VALLEY, CA 922845224
(760) 356-8314
DME
VQ ORTHOCARE
VQ ORTHOCARE
18011 MITCHELL SOUTH IRVINE, CA 926146007
(800) 266-6969
AI
WALDMAN
ALLERGY & ASTHMATIC DISEASE A MED GROUP
39000 BOB HOPE DR. #W-100 RANCHO MIRAGE, CA 922703217
(760) 568-3595
U
WALSH UROLOGY ASSOCIATES
WALSH UROLOGY ASSOCIATES
39000 BOB HOPE DR STE W-209 RANCHO MIRAGE, CA 922707013
(760) 346-7191
PUD
WALTERS
DAN
DAN G WALTERS, MD
1801 E TAHQUITZ CYN WAY STE 20 PALM SPRINGS, CA 922627120
(760) 327-8405
OPT
WATSON
LAWRENCE
LAWRENCE C. WATSON, OD A PROF OPT CORP
73211 FRED WARING DR. #102 PALM DESERT, CA 922602888
(760) 346-1136
TS
WILSON
JOSEPH
JOSEPH WILSON, MD, INC
39000 BOB HOPE DR. STE K-108 RANCHO MIRAGE, CA 922703213
(760) 568-4330
TS
WILSON
JOSEPH
CARDIOTHORACIC SURGERY ASSOC OF THE DESE
39000 BOB HOPE DR. STE K-108 RANCHO MIRAGE, CA 922703213
(760) 568-4330
MH
WINDSTONE BH- PALM DESERT
WINDSTONE BEHAVIORAL HEALTH
72855 FRED WARING DR. STE. 2 PALM DESERT, CA 922609369
(760) 340-3158
MH
WINDSTONE BH- RANCHO MIRAGE
WINDSTONE BEHAVIORAL HEALTH
41750 RANCHO LAS PALMAS #D-2 RANCHO MIRAGE, CA 922705512
(760) 837-9480
OBG
WINESBURG
JENNIFER
ADVANCED WOMEN'S HEALTHCARE, A MED CORP
1100 N PALM CYN DR, STE 212 PALM SPRINGS, CA 922624871
(760) 327-7900
PD
WOSK
BERNARD
BORREGO COMMUNITY HEALTH
4343 YAQUI PASS RD BORREGO SPRINGS, CA 920042369
(760) 767-5051
FP
WYLIE
BLAKE
BORREGO COMMUNITY HEALTH
4343 YAQUI PASS RD BORREGO SPRINGS, CA 920042369
(760) 767-5051
DAVID
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt
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PAGE:23
EMPIRE PHYSICIANS MEDICAL GROUP Provider Listing
SPEC
PROVIDER ID/NAME
VENDORNM
STREET
prov_phone
IM
YAO
STEPHANIE
INTERNAL MEDICINE SPECIALISTS, INC
72780 COUNTRY CLUB DR. STE 100 RANCHO MIRAGE, CA 922704150
(760) 773-9750
TS
YU
SON HA
CARDIOTHORACIC SURGERY ASSOC OF THE DESE
39000 BOB HOPE DR. #K-108 RANCHO MIRAGE, CA 922703213
(760) 568-4330
VS
YU
SON HA
VASCULAR SURGERY ASSOC OF THE DESERT
39000 BOB HOPE DR. K-108 RANCHO MIRAGE, CA 922707001
(760) 568-4330
VS
YU
SON HA
NEPHROLOGY ASSOCIATES MEDICAL GROUP,INC
39000 BOB HOPE DR. K-108 RANCHO MIRAGE, CA 922707001
(760) 568-4330
FP
ZADSHIR
ASHRAF
BORREGO COMMUNITY HEALTH
69175 RAMON RD, STE A CATHEDRAL CITY, CA 922343344
(760) 767-5051
REPORT NAME:M:\ACBCI\Provider Listing\Agua Caliente Access\EPMGProvider List by Provider Last name- New.rpt