NPIMap

Organization Active NPI

Lyle J. Reber, MD, Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • La Quinta, CA
National Provider Identifier
1891124954
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G68674 Issued in CA
Legal business name
LYLE J. REBER, MD, INC
Practice address
47110 Washington St
Suite 103
La Quinta, CA 92253-2186
Phone
(760) 625-1650
Fax
(760) 625-1654
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Dr. Lyle J. Reber, M.D.
Title
President
Phone
(760) 625-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G68674 CA Primary

Addresses

Primary practice location

47110 Washington St
Suite 103
La Quinta, CA 92253-2186

Mailing address

47110 Washington St
Suite 201
La Quinta, CA 92253-2186
Phone (760) 625-1653

National Provider Directory

National Provider Directory
Tax ID family
Lyle J Reber MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

47110 Washington St
Ste 201
La Quinta, CA 92253

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1891124954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47110 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532186",
            "telephone_number": "760-625-1653",
            "fax_number": "760-625-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47110 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532186",
            "telephone_number": "760-625-1650",
            "fax_number": "760-625-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE J. REBER, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-625-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G68674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.