Rancho Mirage Pain Management Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

G061216 Issued in CA

Legal business name

RANCHO MIRAGE PAIN MANAGEMENT INC

Practice address

71780 San Jacinto Drive
Suite 83
Rancho Mirage, CA 92270-1092

Phone

(760) 202-1919

Fax

(760) 202-1982

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Anthony Nelson M.D, M.D.

Title

President

Phone

(760) 202-1919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Gaeth Andrew Lovato Jr., P.A.

  • Surgical Physician Assistant
  • La Quinta, CA
  • NPI 1730280710
  Medicare reassignment
• Anthony A Nelson, MD

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1467530576
  Medicare reassignment
• Gregory D. Lanier, P.A.

  • Medical Physician Assistant
  • Manchester, TN
  • NPI 1417949330

  CA

  Medicare reassignment

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1154631943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3023",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701092",
            "telephone_number": "760-202-1919",
            "fax_number": "760-202-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DRIVE",
            "address_2": "SUITE 83",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701092",
            "telephone_number": "760-202-1919",
            "fax_number": "760-202-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "NELSON M.D",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-202-1919",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "G061216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 Center Inc
• Rancho Mirage Pediatrics, Inc.
• Rancho Mirage Pharmacy, Inc.
• Rancho Mirage Psychiatric
• Rancho Mirage Psychiatric Medical Center Inc.
• Rancho Mirage Surgery Center, LLC (Rancho Mirage Surgery Center)

• 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 Jul 31, 2012; 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.