NPIMap

Organization Active NPI

Lyle J Reber MD, Inc.

Doing business as Star Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • La Quinta, CA
National Provider Identifier
1053740670
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LYLE J REBER MD, INC.
Doing business as
Star Orthopaedics
Practice address
47110 Washington St Ste 103
La Quinta, CA 92253-2186
Phone
(760) 972-4580
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
STAR ORTHOPAEDICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Dr. Lyle Jonathan Reber, M.D.
Title
Owner
Phone
(760) 972-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

47110 Washington St Ste 103
La Quinta, CA 92253-2186

Mailing address

PO Box 6449
La Quinta, CA 92248-6449
Phone (760) 972-4580

Other names 1

  • STAR ORTHOPAEDICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lyle J Reber MD Inc3 organizations share this tax ID, including this one
Part of
Star Orthopaedics Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1053740670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6449",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922486449",
            "telephone_number": "760-972-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47110 WASHINGTON ST STE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532186",
            "telephone_number": "760-972-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE J REBER MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR ORTHOPAEDICS, INC.",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-972-4580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR ORTHOPAEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.