DEBORAH R. WONDOLOSKI (NPI# 1780081935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780081935 |
| Entity Type | Individual |
| Full Name | DEBORAH R. WONDOLOSKI |
| Credential | N.P. |
| Practice Address |
72780 Country Club Dr Suite A-104 Rancho Mirage CA 92270-4126 |
| Mailing Address |
39000 Bob Hope Dr Elccc 2nd Floor Rancho Mirage CA 92270-3221 |
| Practice Telephone | 7608378020 |
| Practice Fax Number | 7603403900 |
| Mailing Telephone | 7607731451 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95001776 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
72780 COUNTRY CLUB DR SUITE A-104 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721308 | Shahin Etebar | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2005-06-22 |
| 1811343304 | Shailaja Karanti | Pharmacist | 72780 Country Club Dr, Ste # 403, Rancho Mirage, CA 92270-4126 | 2016-05-13 |
| 1275995193 | Leyra Teresa Pelicano-goers | Nurse Practitioner | 72780 Country Club Dr, Suite 100, Rancho Mirage, CA 92270-4126 | 2016-03-22 |
| 1023482577 | Lora Murphy | Physical Therapy Assistant | 72780 Country Club Dr, #c-300, Rancho Mirage, CA 92270-4126 | 2015-11-20 |
| 1356751689 | Mirage Pain and Rehabilitation Associates A Medical Group Inc | Durable Medical Equipment & Medical Supplies | 72780 Country Club Dr, Suite C300, Rancho Mirage, CA 92270-4126 | 2014-05-08 |
| 1053662924 | William Christopher Sullivan | Physician Assistant | 72780 Country Club Dr, Bldg B 203, Rancho Mirage, CA 92270-4126 | 2012-10-01 |
| 1932457173 | Gregory Reid Lancaster | Physician Assistant | 72780 Country Club Dr, Suite B203, Rancho Mirage, CA 92270-4126 | 2012-08-20 |
| 1336407964 | Ricardo G Cacdac Md A Professional Corp | Colon & Rectal Surgery | 72780 Country Club Dr, Suite C306, Rancho Mirage, CA 92270-4126 | 2012-05-02 |
| 1598038937 | Desert Spine and Neurosurgical Institute, Inc | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2012-02-15 |
| 1487924437 | Ronald S. Levey, Md Inc | Orthopaedic Surgery | 72780 Country Club Dr, Rancho Mirage, CA 92270-4126 | 2012-01-09 |
| Find all providers in the same location | ||||
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952829228 | Xarlyn Pulido Rantung | Nurse Practitioner | 42600 Mirage Rd Bldg A1, Rancho Mirage, CA 92270-4127 | 2017-09-06 |
| 1730537507 | Ruby Ann Eguez | Nurse Practitioner | 35900 Bob Hope Dr Ste 100, Rancho Mirage, CA 92270-1765 | 2016-06-02 |
| 1306219266 | Jeffrey Chun Hong | Nurse Practitioner | 35400 Bob Hope Dr Ste 210, Rancho Mirage, CA 92270-1774 | 2015-11-01 |
| 1528068541 | Tracey Ann Gomez | Nurse Practitioner | 40075 Bob Hope Dr, Suite A, Rancho Mirage, CA 92270-3942 | 2005-08-01 |
| 1871102590 | Sarah Ho Hurd | Nurse Practitioner | 71777 San Jacinto Dr Ste 202, Rancho Mirage, CA 92270-4457 | 2020-07-28 |
| 1821630278 | Clara Christine Desha | Nurse Practitioner | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2019-10-16 |
| 1265086854 | Randy Bloom | Nurse Practitioner | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2019-07-31 |
| 1477038412 | Nancy K Cordova | Nurse Practitioner | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2018-09-25 |
| 1922580562 | Bryan Joseph Young | Nurse Practitioner | 39950 Vista Del Sol, Rancho Mirage, CA 92270-3206 | 2018-08-30 |
| 1184100265 | Laura Lynn Moroney | Nurse Practitioner | 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | 2018-07-12 |
| Find all providers in RANCHO MIRAGE | ||||
| 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.