JFK MEMORIAL
NPI 1295108728
General Acute Care Hospital - Rural in Indio, CA

Q: What is Jfk Memorial's NPI number?

The NPI number for Jfk Memorial is 1295108728. It was assigned to this organization in the NPPES registry on November 5, 2015.

Q: What is Jfk Memorial's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Q: When was this NPI record last updated?

The NPPES record for Jfk Memorial was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 05, 2015CLIA 05D2222833 · Accreditation

47111 MONROE ST, INDIO, CA 92201(760) 775-8120(760) 775-8424 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jfk Memorial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JFK MEMORIAL (NPI 1295108728) is a healthcare organization registered as a rural in Indio, California and active in the NPI registry since November 2015. The organization holds an CLIA Accreditation certificate valid through February 28, 2027 and lists John Heydt, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1295108728

Entity TypeOrganization

Primary Taxonomy282NR1301X

Legal Business NameJFK MEMORIAL

Location Address47111 MONROE STIndio, CA 92201-6739

Mailing AddressPo Box 31001-2130Pasadena, CA 91110-2130 · (213) 412-1973 · Fax (213) 412-1981

Phone(760) 775-8120

Fax(760) 775-8424

Organization SubpartYesParent: Regents Of The University Of California

Authorized OfficialJohn HeydtChief Executive Officer · (714) 456-2986

Enumeration DateNovember 5, 2015

✔ NPI 1295108728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals

Taxonomy Code282NR1301X

47111 MONROE ST, Indio, CA 92201

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2222833

Jfk Memorial Hospital Pathology Laboratory · Indio, CA

Active · expires Feb 28, 2027

CLIA Number05D2222833

Laboratory TypeHospice

Certificate Effective DateMarch 1, 2025

Certificate Expiration DateFebruary 28, 2027

Laboratory DirectorDr. Olga Bohn

Laboratory Phone(760) 775-8487

Laboratory LocationJfk Memorial Hospital Pathology Laboratory81715 Dr Carreon Blvd Ste A-2, Indio, CA 92201

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE GUZON PAGUNURAN PA-C

Physician Assistant