Organization Active NPI

Rancho Mirage Family Group Inc a Medical Corporation

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1720011166
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A35629 Issued in CA
Legal business name
RANCHO MIRAGE FAMILY GROUP INC A MEDICAL CORPORATION
Practice address
39300 Bob Hope Drive
Bannan BLDG., Ste, 1105
Rancho Mirage, CA 92270-3203
Phone
(760) 773-3379
Fax
(760) 568-3679
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Murray D. Taylor, M.D.
Title
Owner
Phone
(760) 773-3379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A35629 CA Primary

Addresses

Primary practice location

39300 Bob Hope Drive
Bannan BLDG., Ste, 1105
Rancho Mirage, CA 92270-3203

Mailing address

39300 Bob Hope Drive
Bannan BLDG., Ste, 1105
Rancho Mirage, CA 92270-3203
Phone (760) 773-3379

Other identifiers 4

IdentifierTypeStateIssuer
080158581OtherCARAILROAD MEDICARE
ZZZ01311ZOtherCABLUE SHIELD OF CA
ZZZ21403ZOtherCAMEDICARE
1720011166OtherCAGROUP NPI

National Provider Directory

National Provider Directory

Locations

39300 Bob Hope Dr
#B1105
Rancho Mirage, CA 92270

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1720011166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DRIVE",
            "address_2": "BANNAN BLDG., STE, 1105",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703203",
            "telephone_number": "760-773-3379",
            "fax_number": "760-568-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DRIVE",
            "address_2": "BANNAN BLDG., STE, 1105",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703203",
            "telephone_number": "760-773-3379",
            "fax_number": "760-568-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE FAMILY GROUP INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-773-3379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080158581",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ01311Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ21403Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1720011166",
            "state": "CA"
        }
    ],
    "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 18, 2015; 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.