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ALEXANDRA BLACK
NPI 1669978664
Podiatrist - Foot & Ankle Surgery in Palm Desert, CA

Active since March 30, 2018
41990 COOK ST BLDG F, PALM DESERT, CA 92211(760) 565-5545 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Dec 7, 2022, Jul 16, 2021 and 1 more (4 updates tracked since 2018).

About Alexandra Black NPPES

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

ALEXANDRA BLACK (NPI 1669978664) is an individual foot & ankle surgery provider in Palm Desert, California, licensed in California (E5982) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1669978664
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameALEXANDRA BLACK
Location Address41990 COOK ST BLDG FPalm Desert, CA 92211-6100
Mailing Address41990 Cook StPalm Desert, CA 92211-6100 · (760) 565-5545
Phone(760) 565-5545
Sole ProprietorYes
Enumeration DateMarch 30, 2018
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1669978664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5982
41990 COOK ST BLDG F, Palm Desert, CA 92211
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Other Identifiers 1

Medicaid0444104OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. MARISA WILEATHA GLIVINGS PSYD
Psychologist (Clinical)
41990 COOK ST BLDG F
PALM DESERT, CA 92211
Riverside County (707) 341-5570
KIMBERLY OZMON
Licensed Practical Nurse
41990 COOK ST BLDG F
PALM DESERT, CA 92211
Riverside County (760) 341-5570

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 Alexandra Black's NPI number?

The NPI number for Alexandra Black is 1669978664. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Alexandra Black located?

Alexandra Black practices at 41990 Cook St Bldg F, Palm Desert, CA 92211. The listed phone number is (760) 565-5545.

What is Alexandra Black's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Alexandra Black accept?

Health plans from CareSource list Alexandra Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Black was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.