NPIMap

Organization Active NPI

Mirage Pain and Rehabilitation Associates a Medical Group, Inc.

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Rancho Mirage, CA
National Provider Identifier
1508925439
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
A86192 Issued in CA
Legal business name
MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP, INC.
Practice address
72780 Country Club Dr.
Suite C-300
Rancho Mirage, CA 92270-4150
Phone
(760) 341-5550
Fax
(760) 341-6050
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Dr. Albert Lai, M.D.
Title
Partner
Phone
(760) 341-5550

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A86192 CA
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X A86192 CA Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X 20A7784 CA
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X

Addresses

Primary practice location

72780 Country Club Dr.
Suite C-300
Rancho Mirage, CA 92270-4150

Mailing address

PO Box 38
Rancho Mirage, CA 92270
Phone (760) 341-5550

Other names 1

  • DESERT PAIN & REHABILITATION ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

71843 Highway 111
Ste 111
Rancho Mirage, CA 92270
Phone (760) 341-5550

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1508925439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "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 C-300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "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": "2006-12-06",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-341-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86192",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A86192",
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20A7784",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT PAIN & REHABILITATION ASSOCIATES",
            "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 Feb 25, 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.