NPIMap

Organization Active NPI

Desert Orthopedic Center a Medical Group Inc

  • Orthopaedic Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1508967753
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC
Practice address
39000 Bob Hope Dr, Harry & Diane Rinker BLDG
BLDG FL 2 RM 1 RM
Rancho Mirage, CA 92270-3221
Phone
(760) 568-2684
Fax
(760) 341-5832
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Matthew V Diltz, M.D.NPI 1447456579
Title
Vice Chairman & Owner
Phone
(760) 766-1246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X

Addresses

Primary practice location

39000 Bob Hope Dr, Harry & Diane Rinker BLDG
BLDG FL 2 RM 1 RM
Rancho Mirage, CA 92270-3221

Mailing address

PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 568-2684

Other practice location 1

415 S Palm Canyon Dr Ste 200
Palm Springs, CA 92262-7303
Phone (760) 568-2684

Other practice location 2

151 S Sunrise Way Ste 100
Palm Springs, CA 92262-0129
Phone (760) 568-2684

Other practice location 3

45280 Seeley Dr., FL 2
La Quinta, CA 92253-6834
Phone (760) 568-2684

Other practice location 4

39000 Bob Hope Dr, Hirschberg Blg, Ste 310
Rancho Mirage, CA 92270
Phone (760) 568-2684

Other identifiers 1

IdentifierTypeStateIssuer
=========OtherCATAX I.D. #

Other names 1

  • DESERT ORTHOPEDIC CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209001255 CA Part B Supplier - Clinic/Group Practice 2466346739 Receives reassigned benefits from 60 practitioners
3 other NPIs on this enrollment
Practice locations: La Quinta, CA; Rancho Mirage, CA; Palm Springs, CA; Indio, CA
O20200408003795 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2466346739 Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

415 S Palm Canyon Dr
Ste 200
Palm Springs, CA 92262

151 S Sunrise Way
Ste 100
Palm Springs, CA 92262

39700 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 68

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

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1508967753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1730",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701058",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR, HARRY & DIANE RINKER BLDG",
            "address_2": "BLDG FL 2 RM 1 RM",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S Palm Canyon Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627303",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 S Sunrise Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922620129",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45280 Seeley Dr., FL 2",
            "address_purpose": "LOCATION",
            "city": "La Quinta",
            "state": "CA",
            "postal_code": "922536834",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr, Hirschberg Blg, Ste 310",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "92270",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "DILTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VICE CHAIRMAN & OWNER",
        "authorized_official_telephone_number": "760-766-1246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. #",
            "identifier": "=========",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT ORTHOPEDIC 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 Feb 20, 2024; 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.