Tobias Moeller-Bertram MD Corporation
Organization Active NPI Durable Medical Equipment & Medical Supplies · Indio, CA
NPI 1861389199 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1861389199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- TOBIAS MOELLER-BERTRAM MD CORPORATION
- Practice address
- 81800 Doctor Carreon Blvd Ste B
Indio, CA 92201-5595 - Phone
- (760) 647-7676
- Fax
- (760) 347-0909
- NPI assigned
- Jun 19, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- TOBIAS MOELLER-BERTRAM MD CORPORATION
Authorized official
- Name
- Michael Von Kolen
- Title
- Cfo
- Phone
- (800) 285-3755
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 13
Member of 1
Practitioners 85
-
Hary R Ailinani, MD
-
Vickie R Alexander, FNP-BC
-
Tamara Ashford, FNP
-
Kacie Astorga, NP
-
Payal Samir Bhavsar, FNP-BC
-
Harrier Cagatay, PAC
-
Oksana Dolinskiy, NP
-
Joseph Wayne Dunn, PH.D.
-
Michelle Yap Echeverria, FNP-BC
-
Darlene S. Emerine, MFTI
-
Mickey Michelle Fox, FNP-BC
-
Daniel Gamble, DC
-
Justina Guirguis, LMFT
-
Susan Marie Hannon, LCSW
-
Charlisa Heyward, DNP, FNP-C
-
Kristen Lynne Hickok, FNP-BC
-
Beth Ann Johnson, FNP-C
-
Abdul Sadat Kanu, M.D.
-
Jin Hee Kwon, D.C.
-
Brittney Renee Lang, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251031004230 | CA | DME Supplier - Multi-Specialty - Physician | 1456586064 | Practice locations: Indio, CA |
National Provider Directory
- Tax ID family
- Tobias Moeller Bertram MD
- Part of
- Tobias Moeller Bertram MD
Locations
422 N San Jacinto St
Ste B
Hemet, CA 92543
Phone (951) 330-3110
36101 Bob Hope Dr
#A
Rancho Mirage, CA 92270
Phone (949) 783-3600
12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
81800 Doctor Carreon Blvd Ste B
Indio, CA 92201-5595
Mailing address
18940 N Prima Rd
Scottsdale, AZ 85258
Phone (800) 285-3755
Other names
- Lifekind Health
Other providers in Indio, CA
- Shella R Thorson
- Thrifty Payless Inc
- Thrifty Payless Inc
- Irma Alenadra Tijerina
- Tobias Moeller-Bertram MD Corporation
- Tobias Moeller-Bertram, M.D Corp
- Andreea Hortensia Tomescu
- Claire Helen Tommasino
- Abigail Torosio
- Alvaro Fabricio Torres
All providers in Indio, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.