Active NPI
Christopher Peter Naeyaert, PA-C
- Physician Assistant
- Rancho Mirage, CA
National Provider Identifier
1053536763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 13209
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 837-8131
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 13209 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA 13209 | CA |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
36407 Camino del Mar
Cathedral City, CA 92234-1558
Phone (760) 333-4486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 13209 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 13209 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1053536763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36407 CAMINO DEL MAR",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922341558",
"telephone_number": "760-333-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-837-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEYAERT",
"first_name": "CHRISTOPHER",
"middle_name": "PETER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 13209",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA 13209",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PA 13209",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.