Live Well Ipa

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

LIVE WELL IPA

Practice address

35400 Bob Hope Dr Ste 204
Rancho Mirage, CA 92270-1774

Phone

(760) 567-6546

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By 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

Dr. Sumit MahajanNPI 1659350916

Title

Ceo

Phone

(760) 567-6545

Specialties & licenses 1

Addresses

Locations

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.

• Sumit Mahajan, MD

  • Internal Medicine Physician
  • Yucca Valley, CA
  • NPI 1659350916
  NPD Authorized official

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1891413936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701774",
            "telephone_number": "760-567-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701774",
            "telephone_number": "760-567-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-567-6545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Robertson, Marriage & Family Therapist, Inc.
• Levena Elise Linderholm, PMHNP
• Elisa M Lindley, MD
• Angela A. Lipschutz, APNP
• Robert James Lis, DO
• Iliana Marie Liwanag, PHARMD
• Peter A Ljungbergh, DDS
• Janine Greeno Loescher, RD, CDCES
• Daniel Logsdon, MD
• Lombardo Surgical, Inc.

• Exclusive Provider Organization in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.