Active NPI
William R Page, MD
- Urology Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G38630
- Practice address
- 39000 Bob Hope Dr
Wright BLDG., #412
Rancho Mirage, CA 92270-3221 - Phone
- (760) 346-8555
- Fax
- (760) 346-8666
- NPI assigned
- Feb 1, 2006
- Last updated
- Feb 4, 2010
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G38630 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Wright BLDG., #412
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
Wright BLDG. #412
Rancho Mirage, CA 92270-3221
Phone (760) 346-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G386300 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38630 | CA | MD | Urology Physician |
| 38630 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Mark F Kaufman, MD Inc | Urology | Past | Accepting new patients |
Locations
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39000 Bob Hope Dr
#412
Rancho Mirage, CA 92270
39000 Bob Hope Dr
Bldg 412
Rancho Mirage, CA 92270
Phone (760) 346-8555
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39000 Bob Hope Dr
Ste 412
Rancho Mirage, CA 92270
Phone (760) 346-8555
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
Interoperability endpoints
- wpage44168@edirect.emc.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Specialist
- Rancho Mirage, CA
- NPI 1366639841
-
dba Eisenhower Health
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1134424625
-
dba Eisenhower Health
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1750352167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "WRIGHT BLDG. #412",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-346-8555",
"fax_number": "760-346-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "WRIGHT BLDG., #412",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-346-8555",
"fax_number": "760-346-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G38630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G386300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Stephan Paul Ouellette, LCSW
- Kironda M Owens-Lewis, MD
- Eduardo Jose Padilla Ortiz, MD
- Cassie Padilla, LVN
- Lester D Padilla, M.D.
- Paige Dubin MD PC
- Palm Desert Radiology Medical Group, Inc (Eisenhower Radiology Medical Group, Inc)
- Palm Springs Home Health Nurses Inc
- Palm Springs Hospice and Palliative Care Inc
- Heather L Palmer, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.