NPIMap

Organization Active NPI

Roland D Reinhart M D a Professional Corporation

  • Pain Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1285615955
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A49097 Issued in CA
Legal business name
ROLAND D REINHART M D A PROFESSIONAL CORPORATION
Practice address
39800 Portola Ave
Palm Desert, CA 92260-0620
Phone
(760) 341-2360
Fax
(760) 346-5940
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Andrea Bolanos
Title
Administrator
Phone
(760) 341-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X A49097 CA Primary

Addresses

Primary practice location

39800 Portola Ave
Palm Desert, CA 92260-0620

Mailing address

PO Box 14170
Palm Desert, CA 92255-4170
Phone (760) 341-2360

Other identifiers 1

IdentifierTypeStateIssuer
CJ4857OtherCAMC RAIL ROAD GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000952 CA Part B Supplier - Clinic/Group Practice 2466348586 Receives reassigned benefits from 3 practitioners
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

39800 Portola Ave
Palm Desert, CA 92260
Phone (760) 325-4132

39700 Bob Hope Dr
Ste 202
Rancho Mirage, CA 92270
Phone (760) 341-2360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19187/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1285615955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14170",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922554170",
            "telephone_number": "760-341-2360",
            "fax_number": "760-346-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39800 PORTOLA AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922600620",
            "telephone_number": "760-341-2360",
            "fax_number": "760-346-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND D REINHART M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-341-2360"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A49097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAIL ROAD GROUP #",
            "identifier": "CJ4857",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.