MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP, INC. (NPI# 1508925439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508925439 |
| Entity Type | Organization |
| Organization Name | MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP, INC. |
| Other Organization Name | DESERT PAIN & REHABILITATION ASSOCIATES |
| Practice Address |
72780 Country Club Dr. Suite C-300 Rancho Mirage CA 92270-4150 |
| Mailing Address |
Po Box 38 Rancho Mirage CA 92270 |
| Practice Telephone | 7603415550 |
| Practice Fax Number | 7603416050 |
| Mailing Telephone | 7603415550 |
| Mailing Fax Number | 7603416050 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | DR. ALBERT LAI (PARTNER) |
| Authorized Official Telephone | 7603415550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A86192 | CA | Other Service Providers |
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
20A7784 | CA | Allopathic & Osteopathic Physicians |
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
A86192 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DESERT PAIN & REHABILITATION ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
72780 COUNTRY CLUB DR. SUITE C-300 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336240316 | Jeffrey Dean Kohfeld | Physician Assistant | 72780 Country Club Dr., Rancho Mirage, CA 92270 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 2081H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Hospice and Palliative Medicine |
| A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280559 | Catherine West | Physical Medicine & Rehabilitation | 1110 N. Dutton Ave, Santa Rosa, CA 95401 | 2007-05-02 |
| 1659834711 | Meredith Fritsch | Physical Medicine & Rehabilitation | 2707 Pine St, San Francisco, CA 94115-2522 | 2019-04-07 |
| 1275853244 | Neil R Soni Md Inc | Physical Medicine & Rehabilitation | 9940 Talbert Ave Ste 101, Fountain Valley, CA 92708-5153 | 2010-06-01 |
| 1326215815 | Negin Salimi | Physical Medicine & Rehabilitation | 4311 3rd Ave, San Diego, CA 92103-1407 | 2008-05-13 |
| 1003025800 | W. Michael Carragher IIi, Do Inc. | Physical Medicine & Rehabilitation | 7235 Santa Monica Blvd, West Hollywood, CA 90046-6724 | 2007-05-21 |
| 1427266725 | Jo Ann Lauer | Physical Medicine & Rehabilitation | 1261 Lincoln Ave, Suite 108, San Jose, CA 95125-3006 | 2007-05-18 |
| 1033324785 | Naghmeh Kerendian | Physical Medicine & Rehabilitation | 239 S La Cienega Blvd, Suite 201, Beverly Hills, CA 90211-3328 | 2007-05-14 |
| 1053526285 | William Michael Barreto | Physical Medicine & Rehabilitation | 3620 Atlantic Ave, Long Beach, CA 90807-3418 | 2007-05-11 |
| 1235342247 | James B Stark | Physical Medicine & Rehabilitation | 909 Hyde St, Suite 432, San Francisco, CA 94109-4822 | 2007-05-07 |
| 1780896498 | Dominique Peppers | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.