Rancho Mirage Pain Associates, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G50577 Issued in CA

Legal business name

RANCHO MIRAGE PAIN ASSOCIATES, INC.

Practice address

39300 Bob Hope Dr
Bannan Building, Suite 1203
Rancho Mirage, CA 92270-3203

Phone

(760) 773-3075

Fax

(760) 773-3091

NPI assigned

Sep 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee W. Erlendson, M.D.NPI 1962429886

Title

President

Phone

(760) 773-3075

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee Wayne Erlendson, M.D.

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1962429886
  Medicare reassignment NPD Authorized official
• Charles Edward Anderson Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Palm Springs, CA
  • NPI 1386646347
  Medicare reassignment NPD
• David Ben Hoenig, M.D.

  • Interventional Pain Medicine Physician
  • Tarzana, CA
  • NPI 1225125529

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730286600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11918",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927111918",
            "telephone_number": "714-824-8840",
            "fax_number": "714-824-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 BOB HOPE DR",
            "address_2": "BANNAN BUILDING, SUITE 1203",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703203",
            "telephone_number": "760-773-3075",
            "fax_number": "760-773-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE PAIN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ERLENDSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-773-3075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G50577",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G50577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G50577",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G554160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rancho Mirage Anesthesia Consultants Medical Group Inc
• Rancho Mirage Family Group Inc a Medical Corporation
• Rancho Mirage Oasis Senior Care LLC
• Rancho Mirage Optometric Family Eyecare, Inc.
• Rancho Mirage Outpatient Physical Therapy Inc
• Rancho Mirage Pain Center Inc
• Rancho Mirage Pain Management Inc
• Rancho Mirage Pediatrics, Inc.
• Rancho Mirage Pharmacy, Inc.
• Rancho Mirage Psychiatric

• Anesthesiology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.