Active NPI
Rancho Mirage Anesthesia Consultants Medical Group Inc
- Anesthesiology Physician
- Rancho Mirage, CA
National Provider Identifier
1225055239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- RANCHO MIRAGE ANESTHESIA CONSULTANTS MEDICAL GROUP INC
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 340-3911
- Fax
- (760) 773-1497
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Howard Nelson, M.D.
- Title
- President
- Phone
- (626) 795-6596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0028410 | Medicaid | CA | |
| ZZZ16551Z | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257811200000",
"number": "1225055239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60790",
"city": "PASADENA",
"state": "CA",
"postal_code": "911166790",
"telephone_number": "626-795-6596",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-340-3911",
"fax_number": "760-773-1497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANCHO MIRAGE ANESTHESIA CONSULTANTS MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2009-11-10",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-795-6596",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0028410",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ16551Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Cesar Augusto Ramirez, MD
- Victoria Marie Ramirez
- Amberly Ramos
- Rancho Adobe Fire Protection District
- Rancho Las Palmas Chiropractic
- Rancho Mirage Family Group Inc a Medical Corporation
- Rancho Mirage Oasis Senior Care LLC
- Rancho Mirage Optometric Family Eyecare, Inc.
- Rancho Mirage Outpatient Physical Therapy Inc
- Rancho Mirage Pain Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.