Tobias Moeller-Bertram MD Corporation
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Rancho Mirage, CA
NPI 1922440684 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1922440684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- A80383 (CA)
- Legal business name
- TOBIAS MOELLER-BERTRAM MD CORPORATION
- Practice address
- 36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001 - Phone
- (760) 321-1315
- Fax
- (760) 321-1094
- NPI assigned
- Jul 23, 2013
- 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
Member organizations 8
Practitioners 98
-
Hary R Ailinani, MD
-
Vickie R Alexander, FNP-BC
-
Tamara Ashford, FNP
-
Kacie Astorga, NP
-
Payal Samir Bhavsar, FNP-BC
-
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 (2 enrollments) in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131106000853 | CA | DME Supplier - Physician - Anesthesiology |
1456586064 | Practice locations: Rancho Mirage, CA |
| O20140128000459 | CA | Part B Supplier - Clinic/Group Practice | 1456586064 |
Receives reassigned benefits from 75 practitioners Practice locations: Victorville, CA; Indio, CA; San Jacinto, CA; Riverside, CA; Rancho Mirage, CA; Palm Springs, CA; Palm Desert, CA |
National Provider Directory
- Part of
- Tobias Moeller Bertram MD
Locations (25 of 30)
67555 E Palm Canyon Dr
Ste 117
Cathedral City, CA 92234
1011 E Devonshire Ave
Ste 101
Hemet, CA 92543
Phone (951) 658-7284
1011 E Devonshire Ave
Hemet, CA 92543
Phone (714) 848-1133
1011 E Devonshire Ave
Ste 103
Hemet, CA 92543
422 N San Jacinto St
Ste Bc
Hemet, CA 92543
Phone (480) 381-3857
1011 E Devonshire Ave
Ste 203
Hemet, CA 92543
Phone (714) 848-1133
422 N San Jacinto St
Ste C
Hemet, CA 92543
1011 E Devonshire Ave
#101203
Hemet, CA 92543
17450 Main St
Ste D
Hesperia, CA 92345
Phone (760) 493-2929
17450 Main St
Ste Def
Hesperia, CA 92345
Phone (760) 493-2929
81800 Doctor Carreon Blvd
Ste B
Indio, CA 92201
Phone (760) 347-7676
79200 Corporate Center Dr
Ste 10
La Quinta, CA 92253
79200 Corporate Center Dr
La Quinta, CA 92253
1117 N Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 318-0505
1080 N Indian Canyon Dr
Ste 204
Palm Springs, CA 92262
1080 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 773-4280
1115 N Palm Canyon Dr
Palm Springs, CA 92262
36101 Bob Hope Dr
Ste B5
Rancho Mirage, CA 92270
7065 Indiana Ave
Ste 110320
Riverside, CA 92506
7065 Indiana Ave
Ste 320
Riverside, CA 92506
7065 Indiana Ave
Ste 110
Riverside, CA 92506
Phone (951) 476-0115
7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115
1695 S San Jacinto Ave
Ste Aj
San Jacinto, CA 92583
Phone (951) 330-3100
1695 S San Jacinto Ave
Ste Abfcd
San Jacinto, CA 92583
Phone (951) 330-3100
1695 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | A80383 | CA | Yes |
Addresses
Primary practice location
36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001
Mailing address
44630 Monterey Ave Ste 100
Palm Desert, CA 92260-3326
Phone (800) 285-3755
Other practice location 1
12830 Hesperia Rd Ste Abcd
Victorville, CA 92395-7788
Phone (760) 684-8999
Other practice location 2
81800 Doctor Carreon Blvd Ste B
Indio, CA 92201-5595
Phone (760) 347-7676
Other practice location 3
7065 Indiana Ave Ste 100
Riverside, CA 92506-4167
Phone (951) 476-0115
Other practice location 4
81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone (760) 347-7676
Other practice location 5
1695 S San Jacinto Ave Ste Abfcd
San Jacinto, CA 92583-5103
Phone (951) 330-3100
Other practice location 6
1133 N Palm Canyon Dr Ste A
Palm Springs, CA 92262-4431
Phone (760) 320-8005
Other practice location 7
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4143
Other names
- Lifekind Health
Other providers in Rancho Mirage, CA
- John Harrison Thompson III
- Kent W. Thompson
- Sharron L Thompson
- Michael Kirk Thorsen
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- Tobias Moeller-Bertram,MD Corporation
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All providers in Rancho Mirage, CA · Pain Medicine (Anesthesiology) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 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.