LYLE J REBER MD INC (NPI# 1881911287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881911287 |
| Entity Type | Organization |
| Organization Name | LYLE J REBER MD INC |
| Practice Address |
47110 Washington St Suite 104 La Quinta CA 92253-2186 |
| Mailing Address |
Po Box 6449 La Quinta CA 92248-6449 |
| Practice Telephone | 7606251650 |
| Practice Fax Number | 7606251654 |
| Mailing Telephone | 7606251650 |
| Mailing Fax Number | 7606251654 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | DR. LYLE J REBER (PRESIDENT) |
| Authorized Official Telephone | 7606251650 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G68674 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1063444578 | 01 | |
| CA | STATE | G68674 | 01 |
| Street Address |
47110 WASHINGTON ST SUITE 104 |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477612497 | Mark S. Albert | Physical Therapist | 47110 Washington St, Suite # 103, La Quinta, CA 92253-2186 | 2006-12-06 |
| 1992249429 | Sheri Wen Hsu, M.d., Inc | Internal Medicine | 47110 Washington St, Suite 103, La Quinta, CA 92253-2186 | 2016-12-19 |
| 1891124954 | Lyle J. Reber, Md, Inc | Orthopaedic Surgery | 47110 Washington St, Suite 103, La Quinta, CA 92253-2186 | 2013-11-08 |
| 1215191184 | Erica Michelle Ruiz | Family Medicine | 47110 Washington St, Suite 203, La Quinta, CA 92253-2186 | 2008-07-10 |
| 1598961708 | Edward A Ruiz | Family Medicine | 47110 Washington St, Suite 203, La Quinta, CA 92253-2186 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053506287 | La Quinta Medspa, Inc. | Specialist | 47-350 Washington Street, Suite 103, La Quinta, CA 92253 | 2007-09-11 |
| 1497765424 | La Quinta Ear Nose & Throat, Inc. | Specialist | 78370 Highway 111 Ste 160, La Quinta, CA 92253-2623 | 2006-08-09 |
| 1558328203 | Antoine Jean Elhajjar | Specialist | 46100 Washington St, La Quinta, CA 92253-2042 | 2006-04-27 |
| 1528064300 | Suzanne M Yang | Specialist | 78437 Highway 111, La Quinta, CA 92253-2076 | 2005-06-25 |
| 1154862647 | Trilogy Eye Medical Group, Inc. | Specialist | 47474 Washington St, La Quinta, CA 92253-8846 | 2017-03-16 |
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| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
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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.