Active NPI
Peter Lester Tynberg, MD.
- Urology Physician
- Rancho Mirage, CA
National Provider Identifier
1912211566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- GFE16683
- Practice address
- 70711 Tamarisk Lane
Rancho Mirage, CA 92270 - Phone
- (760) 770-8851
- Fax
- (760) 770-8851
- NPI assigned
- Aug 5, 2010
- Last updated
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
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 | GFE16683 | CA | Primary |
Addresses
Primary practice location
70711 Tamarisk Lane
Rancho Mirage, CA 92270
Mailing address
70711 Tamarisk Lane
Rancho Mirage, CA 92270
Phone (760) 770-8851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE16683 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1912211566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70711 TAMARISK LANE",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-770-8851",
"fax_number": "760-770-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70711 TAMARISK LANE",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-770-8851",
"fax_number": "760-770-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNBERG",
"first_name": "PETER",
"middle_name": "LESTER",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "GFE16683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.