Organization Active NPI

Harold L. Tarleton, M.D., Inc.

Doing business as Tarleton Medical

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1144223488
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C32824 Issued in CA
Legal business name
HAROLD L. TARLETON, M.D., INC.
Doing business as
Tarleton Medical
Practice address
72301 Country Club Dr Ste 106
Rancho Mirage, CA 92270-8007
Phone
(760) 836-0708
Fax
(760) 776-4293
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Harold L. Tarleton, M.D.NPI 1518985985
Title
President
Phone
(760) 836-0708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C32824 CA Primary

Addresses

Primary practice location

72301 Country Club Dr Ste 106
Rancho Mirage, CA 92270-8007

Mailing address

PO Box 14038
Palm Desert, CA 92255-4038
Phone (760) 836-0708

Other identifiers 1

IdentifierTypeStateIssuer
00C328240MedicaidCA

Other names 1

  • Tarleton Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000873 CA Part B Supplier - Clinic/Group Practice 5597738617 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

72301 Country Club Dr
Ste 106
Rancho Mirage, CA 92270
Phone (760) 346-5055

72301 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 346-0553

39000 Bob Hope Dr
Ste K406
Rancho Mirage, CA 92270
Phone (619) 779-1721

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1144223488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14038",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922554038",
            "telephone_number": "760-836-0708",
            "fax_number": "760-776-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72301 COUNTRY CLUB DR STE 106",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922708007",
            "telephone_number": "760-836-0708",
            "fax_number": "760-776-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD L. TARLETON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "TARLETON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-836-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C32824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C328240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarleton Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.