NPIMap

Organization Active NPI

Mirage Aesthetic Concepts Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1538405345
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
32501 Issued in CA
Legal business name
MIRAGE AESTHETIC CONCEPTS SURGICAL CENTER
Practice address
39935 Vista del Sol
Suite 100
Rancho Mirage, CA 92270-3211
Phone
(760) 837-1515
Fax
(760) 837-1011
NPI assigned
Dec 26, 2012
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Peter Matthias Scheer, DDS, MSNPI 1255338208
Title
President
Phone
(760) 837-1515

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 32501 CA Primary

Addresses

Primary practice location

39935 Vista del Sol
Suite 100
Rancho Mirage, CA 92270-3211

Mailing address

39935 Vista del Sol
Rancho Mirage, CA 92270-3211
Phone (760) 837-1515

National Provider Directory

National Provider Directory

Locations

39935 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 837-9210

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1538405345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39935 VISTA DEL SOL",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703211",
            "telephone_number": "760-837-1515",
            "fax_number": "760-837-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39935 VISTA DEL SOL",
            "address_2": "SUITE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703211",
            "telephone_number": "760-837-1515",
            "fax_number": "760-837-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE AESTHETIC CONCEPTS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "SCHEER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MATTHIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-837-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "32501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 26, 2012; 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.