Mirage Pain and Rehabilitation Associates a Medical Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP INC

Practice address

72780 Country Club Dr
Suite C300
Rancho Mirage, CA 92270-4126

Phone

(760) 341-5550

Fax

(760) 341-6050

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Albert Lai, M.D.

Title

Authorized Official

Phone

(760) 341-5550

Specialties & licenses 1

Addresses

Other names 1

• Desert Pain & Rehabilitation Associates Doing business as

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1356751689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE C300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-341-5550",
            "fax_number": "760-341-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "SUITE C300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-341-5550",
            "fax_number": "760-341-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "760-341-5550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Pain & Rehabilitation Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mirage Care LLC
• Mirage Center Outpatient Surgery
• Mirage Endoscopy Center, L.P.
• Mirage Medical Group
• Mirage on Call Medical Group Inc
• Mirage Pain and Rehabilitation Associates a Medical Group, Inc.
• Mirage Physical Therapy, Inc
• Mirage Surgery Center
• Esmeralda Miranda
• Farshid Mirzaee, MD

• Durable Medical Equipment & Medical Supplies in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.