Justin Reckard MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A120374 Issued in CA

Legal business name

JUSTIN RECKARD MD INC

Practice address

71943 Highway 111
Rancho Mirage, CA 92270-4848

Phone

(760) 776-7600

Fax

(760) 776-7640

NPI assigned

Jun 13, 2012

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Michael Reckard, MDNPI 1164470480

Title

Provider

Phone

(760) 776-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Michael Reckard, MD

  • Surgery Physician
  • Rancho Mirage, CA
  • NPI 1164470480
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1033471115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71943 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704848",
            "telephone_number": "760-776-7600",
            "fax_number": "760-776-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71943 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704848",
            "telephone_number": "760-776-7600",
            "fax_number": "760-776-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr Ste K403",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922707077",
            "country_code": "US",
            "telephone_number": "760-346-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUSTIN RECKARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RECKARD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "760-776-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A120374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elke Jost-Vu, MD
• Cynthia Jovanov, RN, ACNP
• Karishma Singh Judge, MD
• Julian Medical
• Caesar Octavius Julian, MD
• Karen Kakareka, COTA/L
• Jonathan A Kallis, LCSW
• Jacky Kamel
• Andrew W. Kamell, MD
• Madhurya Kammula

• Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.