DESERT OPHTHALMOLOGY MEDICAL CORPORATION
NPI 1386710564
Ophthalmology in Palm Springs, CA

Active since November 28, 2006CLIA 05D2054143 · Waiver
1180 N INDIAN CANYON DR, SUITE W100, PALM SPRINGS, CA 92262(760) 320-8497(760) 320-5444 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desert Ophthalmology Medical Corporation NPPES

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

DESERT OPHTHALMOLOGY MEDICAL CORPORATION (NPI 1386710564) is a healthcare organization registered as an ophthalmology in Palm Springs, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Wallace F Goldban, Ophthalmology, as its authorized official.

NPPES Registry Identity

NPI1386710564
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameDESERT OPHTHALMOLOGY MEDICAL CORPORATION
Location Address1180 N INDIAN CANYON DR, SUITE W100Palm Springs, CA 92262-4834
Mailing Address1180 N Indian Canyon Dr Ste E130Palm Springs, CA 92262-4876 · (760) 320-8497 · Fax (760) 320-5444
Fax(760) 320-5444
Organization SubpartNo
Authorized OfficialWallace F GoldbanOphthalmology · (760) 320-8497
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1386710564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G077969
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1180 N INDIAN CANYON DR, Palm Springs, CA 92262

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Ophthalmology Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Desert Ophthalmology Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Ophthalmology
NPI 1780872671
1180 N INDIAN CANYON DR STE W100
Palm Springs, CA 92262
(760) 320-8497
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1992737498
11370 ANDERSON ST STE 1800
Loma Linda, CA 92354
(909) 558-2154
✔ PECOS✔ Accepts Medicare44 mi
Ophthalmology
NPI 1669520490
113 WATERWORKS WAY STE 245
Irvine, CA 92618
(949) 777-5970
✔ PECOS✔ Accepts Medicare71 mi
Ophthalmology
NPI 1730570896
30200 AGOURA RD STE 140
Agoura Hills, CA 91301
(747) 247-8400
✔ PECOS✔ Accepts Medicare130 mi
Ophthalmology
NPI 1851313514
2516 SAMARITAN DR STE N
San Jose, CA 95124
(408) 358-1600
✔ PECOS✔ Accepts Medicare385 mi
Optometry
NPI 1316028723
2500 N. HARLEM AVE
Elmwood Park, IL 60707
(708) 456-4362
✔ PECOS✔ Accepts Medicare1,658 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 05D2054143

Desert Ophthalmology Medical Corp · Palm Springs, CA
Active · expires Feb 13, 2027
CLIA Number05D2054143
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorWallace F. Goldban
Laboratory Phone(760) 320-8497
Laboratory LocationDesert Ophthalmology Medical Corp1180 N Indian Canyon Dr Ste E130, Palm Springs, CA 92262
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desert Ophthalmology Medical Corporation's NPI number?

The NPI number for Desert Ophthalmology Medical Corporation is 1386710564. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Desert Ophthalmology Medical Corporation located?

Desert Ophthalmology Medical Corporation is located at 1180 N Indian Canyon Dr Suite W100, Palm Springs, CA 92262. The listed phone number is (760) 320-8497.

What is Desert Ophthalmology Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Desert Ophthalmology Medical Corporation enrolled in Medicare?

Yes. Desert Ophthalmology Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Ophthalmology Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Desert Ophthalmology Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (5) and Optometry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Desert Ophthalmology Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2054143) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Ophthalmology Medical Corporation was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.