Desert Pain Specialists, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A86192 Issued in CA

Legal business name

DESERT PAIN SPECIALISTS, INC

Practice address

72780 Country Club Dr Ste C300
Rancho Mirage, CA 92270-4150

Phone

(760) 341-5550

Fax

(833) 471-2093

NPI assigned

Apr 29, 2010

Last updated

Feb 17, 2026By 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

Andrea P Bolanos

Title

Site Admin

Phone

(760) 341-2360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

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.

• Roland D Reinhart, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Palm Desert, CA
  • NPI 1730208059
  Medicare reassignment NPD
• Yamin Sallowm, M.D

  • Interventional Pain Medicine Physician
  • Rancho Mirage, CA
  • NPI 1699138008
  NPD
• Evan R Minkoff, DO

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Rancho Mirage, CA
  • NPI 1831150739
  NPD (past)
• Charles Shane Daniels, MD

  • Interventional Pain Medicine Physician
  • Wilmington, NC
  • NPI 1710167168
  NPD (past)
• Shane Ryan Speirs, M.D.

  • Family Medicine Physician
  • Avondale, AZ
  • NPI 1427589498
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1114244126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE C300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-341-5550",
            "fax_number": "760-341-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE C300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-341-5550",
            "fax_number": "833-471-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PAIN SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SITE ADMIN",
        "authorized_official_telephone_number": "760-341-2360"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Neurosurgical Associates
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Center)
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Pain Management Clinic)
• Desert Orthopedic Center, a Medical Group Inc.
• Desert Orthopedic Surgery Center
• Desert Podiatry Group
• Desert Speech
• Desert Speech Therapy Inc.
• Desert Spine and Neurosurgical Institute, Inc
• Desert Valley OBGYN Inc

• Specialist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.