Active NPI
Lyle Jonathan Reber, M.D.
- Orthopaedic Surgery Physician
- La Quinta, CA
National Provider Identifier
1063444578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G68674
- Practice address
- 47647 Caleo Bay Dr
Suite 200
La Quinta, CA 92253-8854 - Phone
- (760) 777-8282
- Fax
- (760) 771-9085
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 12, 2011
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G68674 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | G68674 | CA | Primary |
Addresses
Primary practice location
47647 Caleo Bay Dr
Suite 200
La Quinta, CA 92253-8854
Mailing address
PO Box 6449
La Quinta, CA 92248-6449
Phone (760) 777-8282
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68674 | CA | MD | Pharmacist |
| G68674 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Orthopedic Center a Medical Group Inc | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Desert Orthopedic Center
- Orthopaedic Surgery Physician
- Rancho Mirage, CA
- NPI 1508967753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1063444578",
"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": "760-777-8282",
"fax_number": "760-771-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47647 CALEO BAY DR",
"address_2": "SUITE 200",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922538854",
"telephone_number": "760-777-8282",
"fax_number": "760-771-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBER",
"first_name": "LYLE",
"middle_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G68674",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G68674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.