Susan Ragonesi

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873

Phone

(760) 899-8441

Fax

(760) 699-7282

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Lake Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1629844733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 LANGLOIS RD SPC 147",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922419414",
            "telephone_number": "619-987-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69730 HIGHWAY 111 STE 109",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702873",
            "telephone_number": "760-899-8441",
            "fax_number": "760-699-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGONESI",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LAKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• R Jeffrey Heilpern MD Inc
• Stephanie Rabino, PHARMD
• Radiant Oncology Medical Group
• Radiation Oncology Medical Associates of Rancho Mirage
• Radnet
• Bhavika Rakholia
• Arleen Arishma Ram, M.D.
• Carlos Emilio Ramirez, M.D.
• Cesar Augusto Ramirez, MD
• Victoria Marie Ramirez

• Recreation Therapist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Recreation Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.