Rancho Mirage Pain Center Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

G50577 Issued in CA

Legal business name

RANCHO MIRAGE PAIN CENTER INC

Practice address

39300 Bob Hope Dr
Bannan Building, Suite 1203
Rancho Mirage, CA 92270-3203

Phone

(760) 773-3075

Fax

(760) 773-3091

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Lee W. Erlendson, M.D.NPI 1962429886

Title

President

Phone

(760) 773-3075

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Rancho Mirage Pain Center IncCCN 05C0001795

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Wayne Erlendson, M.D.

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1962429886
  NPD Authorized official
• Charles Edward Anderson Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Palm Springs, CA
  • NPI 1386646347
  NPD (past)
• David Ben Hoenig, M.D.

  • Interventional Pain Medicine Physician
  • Tarzana, CA
  • NPI 1225125529
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093885675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11918",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927111918",
            "telephone_number": "714-824-8840",
            "fax_number": "714-824-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DR",
            "address_2": "BANNAN BUILDING, SUITE 1203",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703203",
            "telephone_number": "760-773-3075",
            "fax_number": "760-773-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE PAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ERLENDSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-773-3075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "G50577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G50577",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT HEALTH SERV X-RAY",
            "identifier": "RHC137647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rancho Mirage Family Group Inc a Medical Corporation
• Rancho Mirage Oasis Senior Care LLC
• Rancho Mirage Optometric Family Eyecare, Inc.
• Rancho Mirage Outpatient Physical Therapy Inc
• Rancho Mirage Pain Associates, Inc.
• Rancho Mirage Pain Management Inc
• Rancho Mirage Pediatrics, Inc.
• Rancho Mirage Pharmacy, Inc.
• Rancho Mirage Psychiatric
• Rancho Mirage Psychiatric Medical Center Inc.

• Pain Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.