NPIMap

Organization Active NPI

92270 Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1386930162
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A43041 Issued in CA
Legal business name
92270 SURGERY CENTER
Practice address
71-511 Hwy 111, Suite E
Rancho Mirage, CA 92270
Phone
(760) 836-0077
Fax
(760) 836-0067
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Renato Calabria, MD.,
Title
Owner
Phone
(760) 836-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A43041 CA Primary

Addresses

Primary practice location

71-511 Hwy 111, Suite E
Rancho Mirage, CA 92270

Mailing address

71-511 Hwy 111, Suite E
Rancho Mirage, CA 92270
Phone (760) 836-0077

Other names 1

  • 90210 SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
90210 Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1386930162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71-511 HWY 111, SUITE E",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-836-0077",
            "fax_number": "760-836-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71-511 HWY 111, SUITE E",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-836-0077",
            "fax_number": "760-836-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "92270 SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "CALABRIA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-836-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.,"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A43041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "90210 SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2011; 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.