NPIMap

Organization Active NPI

Moeller-Bertram Medical Corporation

  • Pain Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1699586388
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MOELLER-BERTRAM MEDICAL CORPORATION
Practice address
36101 Bob Hope Dr Ste A1
Rancho Mirage, CA 92270-2002
Phone
(760) 321-1315
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Authorized official

Name
Dr. Tobias Moeller-Bertram, MDNPI 1134169741
Title
President
Phone
(800) 285-3755

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

36101 Bob Hope Dr Ste A1
Rancho Mirage, CA 92270-2002

Mailing address

44630 Monterey Ave Ste 100
Palm Desert, CA 92260-3326

Other names 1

  • Lifekind Health Doing business as

National Provider Directory

National Provider Directory

Locations

67555 E Palm Canyon Dr
Ste F117F118
Cathedral City, CA 92234
Phone (760) 656-6111

1133 N Palm Canyon Dr
Ste A
Palm Springs, CA 92262
Phone (760) 320-2200

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 67

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2323107Moeller-Bertram Medical Corporation-Lifekind Healt36101 Bob Hope Dr Ste A1, Rancho Mirage, CA 92270Certificate of waiverApr 30, 2027

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1699586388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44630 MONTEREY AVE STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE A1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702002",
            "telephone_number": "760-321-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOELLER-BERTRAM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "MOELLER-BERTRAM",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-285-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifekind Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifekind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.