NPIMap

Organization Active NPI

Tobias Moeller-Bertram MD Corporation

  • Durable Medical Equipment & Medical Supplies
  • Indio, CA
National Provider Identifier
1336036656
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOBIAS MOELLER-BERTRAM MD CORPORATION
Practice address
81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone
(760) 647-7676
Fax
(760) 347-0909
NPI assigned
Jun 19, 2025
Organization subpart
Yes
Parent organization
TOBIAS MOELLER-BERTRAM MD CORPORATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Michael J Von Kolen
Title
Cfo
Phone
(800) 285-3755

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 56

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

View all 56

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031004212 CA DME Supplier - Multi-Specialty - Physician 1456586064 Practice locations: Indio, CA

National Provider Directory

National Provider Directory
Tax ID family
Tobias Moeller Bertram MD14 organizations share this tax ID, including this one
Part of
Tobias Moeller Bertram MD

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

18940 N Pima Rd
Ste 100
Scottsdale, AZ 85255

81812 Doctor Carreon Blvd
Ste D
Indio, CA 92201
Phone (760) 347-7676

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594

Mailing address

18940 N Pima Rd Ste 100
Scottsdale, AZ 85255-5399
Phone (800) 285-3755

Other names 1

NPPES NPI Registry
  • Lifekind Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2026.

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1336036656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18940 N PIMA RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555399",
            "telephone_number": "800-285-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81812 DOCTOR CARREON BLVD STE D",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015594",
            "telephone_number": "760-647-7676",
            "fax_number": "760-347-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIAS MOELLER-BERTRAM MD CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOBIAS MOELLER-BERTRAM MD CORPORATION",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "VON KOLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-285-3755"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifekind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.