MEDICARE: PATRICIA JAMES M.D.

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	207P00000X	Emergency Medicine Physician	G34409	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689693517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JAMES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 12845
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92255-2845
Country	:	US
Telephone Number	:	760-836-9066
Fax Number	:	760-836-9077

Provider Business Practice Location Address
First Line	:	36921 COOK ST
Second Line	:	SUITE 102
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6070
Country	:	US
Telephone Number	:	760-836-9066
Fax Number	:	760-836-9077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/03/2012

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