MEDICARE: EISENHOWER MEDICAL CENTER

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1326985516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EISENHOWER MEDICAL CENTER

Provider Business Mailing Address
First Line	:	39000 BOB HOPE DR
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3202
Country	:	US
Telephone Number	:	760-340-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E TAHQUITZ CANYON WAY BLDG C
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-0114
Country	:	US
Telephone Number	:	760-346-0642
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MARTIN JOSEPH MASSIELLO
Credential	:
Telephone Number	:	760-773-1228

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “EISENHOWER MEDICAL CENTER ” Practice Location

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