Organization Active NPI

Jorge L. Eller, MD Inc

  • Neurological Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1649901133
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
JORGE L. ELLER, MD INC
Practice address
72780 Country Club Dr Ste 104
Rancho Mirage, CA 92270-4150
Phone
(760) 837-8020
Fax
(760) 834-3780
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Jorge L Eller, MDNPI 1083726798
Title
Provider
Phone
(503) 348-0706

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

72780 Country Club Dr Ste 104
Rancho Mirage, CA 92270-4150

Mailing address

72780 Country Club Dr Ste 104
Rancho Mirage, CA 92270-4150
Phone (760) 837-8020

National Provider Directory

National Provider Directory

Locations

72780 Country Club Dr
Ste 104
Rancho Mirage, CA 92270
Phone (510) 647-6567

Practitioners & affiliated clinicians

Practitioners 1

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1649901133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 104",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-837-8020",
            "fax_number": "760-834-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 104",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-837-8020",
            "fax_number": "760-834-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L. ELLER, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "503-348-0706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "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 Jun 23, 2022; 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.