Organization Active NPI

Glitt-R LLC Dba Dermalux

  • Specialist
  • Rancho Mirage, CA
National Provider Identifier
1154201853
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GLITT-R LLC DBA DERMALUX
Practice address
72780 Country Club Dr Ste 304
Rancho Mirage, CA 92270-4149
Phone
(760) 364-0647
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Veronica Rivera, PMUA
Title
Owner/Practitioner
Phone
(760) 364-0647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

72780 Country Club Dr Ste 304
Rancho Mirage, CA 92270-4149

Mailing address

72780 Country Club Dr Ste 304
Rancho Mirage, CA 92270-4149
Phone (760) 364-0647

National Provider Directory

National Provider Directory

Locations

72780 Country Club Dr
Ste 304
Rancho Mirage, CA 92270
Phone (760) 364-0647

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1154201853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 304",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704149",
            "telephone_number": "760-364-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 304",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704149",
            "telephone_number": "760-364-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLITT-R LLC DBA DERMALUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "760-364-0647",
        "authorized_official_credential": "PMUA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2025; 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.