Peggy Mirl Wade

Physician • Thousand Palms, CA

Deactivated NPI 1871829655 Deactivated in NPPES Female Practitioner

Practice location in NPPES

32850 Saint Andrews Dr
Thousand Palms, CA 922762711

Phone: 7604690256

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 09, 2020; the reason is not published. The records below are historical. They do not show whether Peggy Wade currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 28, 2009

NPI Deactivation Date March 09, 2020

NPI Active Period 2009 – 2020

Practice Location & Contact Primary Location

Practice Address

32850 Saint Andrews Dr

Thousand Palms, CA 922762711

Telephone 7604690256

Fax 7603432300

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Thousand Palms and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Point of Service Primary Specialty

NUCC Taxonomy Code: 305S00000X

License # reported to NPPES CA 00484

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 09, 2020

NPPES lists this NPI as deactivated as of March 09, 2020; the reason is not published.

✅

NPI Profile Active October 28, 2009

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 28, 2009

Registered at 32850 SAINT ANDREWS DR, THOUSAND PALMS, CA 922762711 (Tel: 7604690256)

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Business Mailing Address (Initial Record) October 28, 2009

Registered at PO BOX 644, THOUSAND PALMS, CA 922760644 (Tel: 7603432300)

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Provider Name / Credentials (Initial Record) October 28, 2009

Recorded as PEGGY WADE

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2009

Point of Service (license number reported to NPPES: CA 00484)

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Initial NPI Registration & Enumeration October 28, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871829655

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 28, 2009

Last Update: October 28, 2009

Deactivation Date: March 09, 2020

Update or Correct Profile

Mailing Address

Po Box 644

Thousand Palms, CA 922760644

Phone: 7603432300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.