Organization Active NPI

Richard E. Fausel, D.O, a Professional Corporation

  • Adult Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1336170091
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20A5111 Issued in CA
Legal business name
RICHARD E. FAUSEL, D.O, A PROFESSIONAL CORPORATION
Practice address
39700 Bob Hope Dr
Suite 216
Rancho Mirage, CA 92270-3267
Phone
(760) 779-9353
NPI assigned
Jul 5, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Richard E Fausel, DO
Title
President
Phone
(760) 779-9353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 20A5111 CA Primary

Addresses

Primary practice location

39700 Bob Hope Dr
Suite 216
Rancho Mirage, CA 92270-3267

Mailing address

39700 Bob Hope Drive
Suite 216
Rancho Mirage, CA 92270
Phone (760) 779-9353

National Provider Directory

National Provider Directory

Locations

39700 Bob Hope Dr
Ste 216
Rancho Mirage, CA 92270
Phone (760) 779-9353

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1336170091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DRIVE",
            "address_2": "SUITE 216",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-779-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 216",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-779-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. FAUSEL, D.O, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "FAUSEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-779-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.