Active NPI
Indermohan S Luthra MD Inc a Professional Corporation
- Specialist
- Rancho Mirage, CA
National Provider Identifier
1326340282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00A505640
- Legal business name
- INDERMOHAN S LUTHRA MD INC A PROFESSIONAL CORPORATION
- Practice address
- 35400 Bob Hope Dr
Ste 206
Rancho Mirage, CA 92270-1772 - Phone
- (760) 328-7500
- Fax
- (760) 328-0044
- NPI assigned
- Nov 29, 2010
- 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
- Dr. Indermohan S Luthra, M.D.
- Title
- M.D.
- Phone
- (760) 328-7500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00A505640 | CA | Primary |
Addresses
Primary practice location
35400 Bob Hope Dr
Ste 206
Rancho Mirage, CA 92270-1772
Mailing address
35400 Bob Hope Dr
Ste 206
Rancho Mirage, CA 92270-1772
Phone (760) 328-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A505640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101202000506 | CA | Part B Supplier - Clinic/Group Practice | 4385830355 |
Receives reassigned benefits from 5 practitioners Practice locations: Rancho Mirage, CA |
National Provider Directory
National Provider DirectoryLocations
35400 Bob Hope Dr
Ste 206
Rancho Mirage, CA 92270
Phone (760) 642-5549
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Burbank, CA
- NPI 1831114271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1326340282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35400 BOB HOPE DR",
"address_2": "STE 206",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701772",
"telephone_number": "760-328-7500",
"fax_number": "760-328-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35400 BOB HOPE DR",
"address_2": "STE 206",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701772",
"telephone_number": "760-328-7500",
"fax_number": "760-328-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDERMOHAN S LUTHRA MD INC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "LUTHRA",
"authorized_official_first_name": "INDERMOHAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "760-328-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "00A505640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A505640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.