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INDIAN WELLS MEDICAL CENTER
NPI 1548288574
Family Medicine in Indian Wells, CA

Active since July 17, 2006
74976 US HIGHWAY 111, INDIAN WELLS, CA 92210(760) 568-4544(760) 568-4555 Get Directions Write a Review

NPPES record last updated: March 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indian Wells Medical Center NPPES

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

INDIAN WELLS MEDICAL CENTER (NPI 1548288574), doing business as Spencer Medical Group, is a healthcare organization registered as a family medicine in Indian Wells, California and active in the NPI registry since July 2006. The organization lists Corvin Kelly, Director/officer, as its authorized official.

NPPES Registry Identity

NPI1548288574
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDIAN WELLS MEDICAL CENTER
Location Address74976 US HIGHWAY 111Indian Wells, CA 92210-7117
Mailing Address74976 Highway 111Indian Wells, CA 92210 · (760) 568-4544 · Fax (760) 568-4555
Phone(760) 568-4544
Fax(760) 568-4555
Organization SubpartNo
Authorized OfficialCorvin KellyDirector/officer · (760) 568-4544
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 15, 2008
✔ NPI 1548288574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A83821
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedChiropractorTaxonomy 111N00000X · License DC26074 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License C29564 (CA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License A28654 (CA)
Also ListedPhysical TherapistTaxonomy 225100000X · License PT19355 (CA)
74976 US HIGHWAY 111, Indian Wells, CA 92210
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Other Names 1

Former Legal Business NameSpencer Medical Group

Other Identifiers 4

Medicare NSC5989270001CA
OtherZZZ13979ZCA · Blue Shield Provider #
OtherZZZ13978ZCA · Blue Shield Tri-care West
Medicare PINZZZ29816ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MORTON ZEBRACK M.D.
General Practice
74976 US HIGHWAY 111
INDIAN WELLS, CA 92210
Riverside County (760) 568-4544
DR. CORVIN KELLY D.C.
Chiropractor
74976 US HIGHWAY 111
INDIAN WELLS, CA 92210
Riverside County (760) 568-5455
SOUTH WEST TMJ SPECIALITY GROUP
Dentist
74976 US HIGHWAY 111
INDIAN WELLS, CA 92210
Riverside County (760) 341-2873
KELLY CHIROPRACTIC INC
Chiropractor
74976 US HIGHWAY 111
INDIAN WELLS, CA 92210
Riverside County (760) 568-4544

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 Indian Wells Medical Center's NPI number?

The NPI number for Indian Wells Medical Center is 1548288574. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider was formerly known as Spencer Medical Group.

Where is Indian Wells Medical Center located?

Indian Wells Medical Center is located at 74976 Us Highway 111, Indian Wells, CA 92210. The listed phone number is (760) 568-4544.

What is Indian Wells Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Indian Wells Medical Center was last updated on March 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.