Active NPI
Richard Hare
- Surgery Physician
- Rancho Mirage, CA
National Provider Identifier
1699406538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A21557
- Practice address
- 75 Magdalena Dr
Rancho Mirage, CA 92270-3927 - Phone
- (760) 408-9261
- NPI assigned
- Jun 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A21557 | CA | Primary |
Addresses
Primary practice location
75 Magdalena Dr
Rancho Mirage, CA 92270-3927
Mailing address
PO Box 1165
Rancho Mirage, CA 92270-1165
Phone (760) 408-9261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21557 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1699406538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1165",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701165",
"telephone_number": "760-408-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MAGDALENA DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703927",
"telephone_number": "760-408-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARE",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A21557",
"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 21, 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.