DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELSA MINNIE CISNEROS

MEDICARE: ELSA MINNIE CISNEROS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantCA

General Provider Information

NPI Number : 1184554453
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA MINNIE CISNEROS
Provider Business Mailing Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number : 760-925-0706
Provider Business Practice Location Address
First Line : 44374 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3117
Country : US
Telephone Number : 760-342-6616
Fax Number : 760-925-0706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/27/2026

Similar Medicare Providers

1225610850 — RAMON OLIVAS-ORTEGA MA
Practice Location Address:
44374 PALM ST
INDIO, CA
92201-3117
Practice Phone: 760-342-6616
Practice Fax:
1730019308 — ALESIA MAXWELL NURSING ASSISTANCE
Practice Location Address:
44374 PALM ST
INDIO, CA
92201-3117
Practice Phone: 760-347-6616
Practice Fax:
1447189980 — VANESSA ELENA SOLIZ
Practice Location Address:
44374 PALM ST
INDIO, CA
92201-3117
Practice Phone: 559-682-9160
Practice Fax:
1881788503 — A.B.C. RECOVERY CENTER, INC.
Practice Location Address:
44374 PALM ST
INDIO, CA
92201-3117
Practice Phone: 760-342-6616
Practice Fax: 760-347-8276
1073798997 — MRS. FREDA ANN ADDEO LMFT
Practice Location Address:
44374 PALM ST
INDIO, CA
92201-3117
Practice Phone: 760-342-6616
Practice Fax: 760-347-8276
1548446362 — WILLIE CLAY JOHNSON CAS
Practice Location Address:
44374 PALM ST
INDIO, CA
92201-3117
Practice Phone: 760-342-6616
Practice Fax: 760-347-8276

Directions to “ ELSA MINNIE CISNEROS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.