Desert Orthopedic Center a Medical Group Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC

Doing business as

Desert Orthopedic Center

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

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 12

Addresses

Other names 1

• DESERT ORTHOPEDIC CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

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, and the practitioner matching its NPPES authorized official.

• Matthew Vance Diltz, M.D.

  • Orthopaedic Surgery Physician
  • Rancho Mirage, CA
  • NPI 1447456579
  Medicare reassignment Care Compare group Authorized official
• Cesar Elias Abdul-Massih, MD

  • Sports Medicine (Internal Medicine) Physician
  • Rancho Mirage, CA
  • NPI 1649732629
  Medicare reassignment Care Compare group NPD
• Angel G Anderson, NP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1376306217
  Medicare reassignment Care Compare group NPD
• Matthew Daniel Gibson Bartie, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1598232845

  Medical

  Medicare reassignment Care Compare group NPD
• Dustin T Briggs, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Palm Springs, CA
  • NPI 1295902492
  Medicare reassignment Care Compare group NPD
• David Raymond Christian, MD

  • Orthopaedic Surgery Physician
  • Rancho Mirage, CA
  • NPI 1487115648
  Medicare reassignment Care Compare group NPD
• Janet Elaine Conley, NP-C

  • Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1174908206
  Medicare reassignment Care Compare group NPD
• Kirsten Renee Contreras, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1629827464

  Medical

  Medicare reassignment Care Compare group NPD
• Jackson Thomas Crough, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rancho Mirage, CA
  • NPI 1306100722
  Medicare reassignment Care Compare group NPD
• Jamie Marie De Coster, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1750666210

  Surgical

  Medicare reassignment Care Compare group NPD
• Marianne K Dezelan, PAC

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1871619171
  Medicare reassignment Care Compare group NPD
• Abigail Rose Dezern

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1528756459
  Medicare reassignment Care Compare group NPD

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT ORTHOPEDIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desert Medical Group-Desert Specialty Group (Desert Oasis Healthcare)
• Desert Medical Group-Mirage Outpatient Center (Desert Oasis Healthcare)
• Desert Medical Rejuvenation, Inc.
• Desert Neurology Medical Group
• Desert Neurosurgical Associates
• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Pain Management Clinic)
• Desert Orthopedic Center, a Medical Group Inc.
• Desert Orthopedic Surgery Center
• Desert Pain Specialists, Inc
• Desert Podiatry Group

• Orthopaedic Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Orthopaedic Surgery Physician in California

• 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.