Individual provider Active NPI

Farshid Mirzaee, MD

  • Urology Physician
  • Rancho Mirage, CA
National Provider Identifier
1194969436
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A130876 Issued in CA
Practice address
39000 Bob Hope Drive Probst 303
Rancho Mirage, CA 92270
Phone
(760) 346-1133
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A130876 CA Primary

Addresses

Primary practice location

39000 Bob Hope Drive Probst 303
Rancho Mirage, CA 92270

Mailing address

72650 Fred Waring Dr Ste 104
Palm Desert, CA 92260-5007
Phone (760) 346-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721000790 CA Practitioner - Urology 8820214208 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urologic Institute of the High Desert IncGroup PAC ID 3476681008, 11 clinicians
Palm Valley Multi-Specialty Medical Group PCGroup PAC ID 8628412418, 17 clinicians

Practice addresses (Care Compare)

18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311

18400 US Hwy 18
Apple Valley, CA 92307-2306
Phone (760) 242-3939

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

72650 Fred Waring Dr
Palm Desert, CA 92260-5007

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
84.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
130876CAMDMarriage & Family Therapist
A130876CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Valley Multi-Specialty Medical Group PC Urology CurrentSince Feb 1, 2024 Accepting new patients
Halo Medical Group Urology CurrentSince Feb 15, 2022 Accepting new patients
Halo Medical Group CurrentSince Feb 15, 2022 Accepting new patients
Emergency Associates Corporation CurrentSince May 8, 2016 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
HMG Urology PC Urology Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

18400 US Highway 18
#A
Apple Valley, CA 92307

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

74785 US Highway 111
Ste 100
Indian Wells, CA 92210
Phone (760) 346-3932

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

79440 Corporate Center Dr
Ste 102
La Quinta, CA 92253
Phone (760) 610-8640

1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081

72650 Fred Waring Dr
Ste 104
Palm Desert, CA 92260
Phone (650) 282-0757

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Ste E425
Palm Springs, CA 92262
Phone (760) 322-7900

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

1221 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-5255

39000 Bob Hope Dr
#303
Rancho Mirage, CA 92270

39000 Bob Hope Dr
Ste P303
Rancho Mirage, CA 92270
Phone (760) 346-8857

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1194969436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605007",
            "telephone_number": "760-346-1133",
            "fax_number": "760-346-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DRIVE PROBST 303",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-346-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAEE",
        "first_name": "FARSHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A130876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.