Rancho Mirage Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RANCHO MIRAGE SURGERY CENTER, LLC

Doing business as

Rancho Mirage Surgery Center

Practice address

35-800 Bob Hope Drive
Suite 100
Rancho Mirage, CA 92270-1722

Phone

(760) 699-6500

Fax

(760) 699-6555

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Lilli A Mandelik

Title

Administrator

Phone

(760) 699-6500

Specialties & licenses 1

Addresses

Other names 1

• Rancho Mirage Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Rancho Mirage Surgery CenterCCN 05C0001874

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1598008658

  Member Of

  NPD member

Locations

Practitioners 1

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

• Eric L Freedman, M.D.

  • Orthopaedic Hand Surgery Physician
  • Palm Desert, CA
  • NPI 1417952797
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1154593481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-800 BOB HOPE DRIVE",
            "address_2": "SUITE 215",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701722",
            "telephone_number": "760-699-6500",
            "fax_number": "760-699-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-800 BOB HOPE DRIVE",
            "address_2": "SUITE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701722",
            "telephone_number": "760-699-6500",
            "fax_number": "760-699-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "MANDELIK",
        "authorized_official_first_name": "LILLI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-699-6500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Mirage Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rancho Mirage Pain Management Inc
• Rancho Mirage Pediatrics, Inc.
• Rancho Mirage Pharmacy, Inc.
• Rancho Mirage Psychiatric
• Rancho Mirage Psychiatric Medical Center Inc.
• Michele Eileen Raney, M.D.
• Alyssa Marie Ranieri, SLP
• Xarlyn Pulido Rantung, NP-C
• Iman Rasheed, MD
• Robin Rawson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.