NPIMap

Organization Active NPI

Tobias Moeller-Bertram MD Corporation

Doing business as Lifekind Health

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Mirage, CA
National Provider Identifier
1922440684
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A80383 Issued in CA
Legal business name
TOBIAS MOELLER-BERTRAM MD CORPORATION
Doing business as
Lifekind Health
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
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TOBIAS MOELLER-BERTRAM MD CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Michael Von Kolen
Title
Cfo
Phone
(800) 285-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X A80383 CA Primary

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

12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4143

Other practice location 2

1133 N Palm Canyon Dr Ste A
Palm Springs, CA 92262-4431
Phone (760) 320-8005

Other practice location 3

12830 Hesperia Rd Ste Abcd
Victorville, CA 92395-7788
Phone (760) 684-8999

Other practice location 4

81800 Doctor Carreon Blvd Ste B
Indio, CA 92201-5595
Phone (760) 347-7676

Other practice location 5

81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone (760) 347-7676

Other practice location 6

1695 S San Jacinto Ave Ste Abfcd
San Jacinto, CA 92583-5103
Phone (951) 330-3100

Other practice location 7

7065 Indiana Ave Ste 100
Riverside, CA 92506-4167
Phone (951) 476-0115

Other names 1

  • Lifekind Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131106000853 CA DME Supplier - Physician - AnesthesiologyDME Supplier - Physician - Interventional Pain Management 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

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Tobias Moeller-Bertrammd Corporation

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 28)

1011 E Devonshire Ave
#101203
Hemet, CA 92543

1011 E Devonshire Ave
Ste 103
Hemet, CA 92543

422 N San Jacinto St
Hemet, CA 92543
Phone (833) 420-4501

422 N San Jacinto St
Ste B
Hemet, CA 92543
Phone (951) 330-3110

422 N San Jacinto St
Ste Bc
Hemet, CA 92543
Phone (480) 381-3857

422 N San Jacinto St
Ste C
Hemet, CA 92543

17450 Main St
Ste D
Hesperia, CA 92345
Phone (760) 493-2929

79200 Corporate Center Dr
Ste 10
La Quinta, CA 92253

79200 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 656-6100

1080 N Indian Canyon Dr
Ste 203
Palm Springs, CA 92262
Phone (760) 320-8005

1080 N Indian Canyon Dr
Ste 204
Palm Springs, CA 92262

1115 N Palm Canyon Dr
Palm Springs, CA 92262

1133 N Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 318-8722

36101 Bob Hope Dr
Ste B5
Rancho Mirage, CA 92270

7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115

7065 Indiana Ave
Ste 100110
Riverside, CA 92506
Phone (951) 476-0115

7065 Indiana Ave
Ste 110
Riverside, CA 92506
Phone (951) 476-0115

7065 Indiana Ave
Ste 110320
Riverside, CA 92506

7065 Indiana Ave
Ste 320
Riverside, CA 92506

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

1695 S San Jacinto Ave
Ste E
San Jacinto, CA 92583

27699 Jefferson Ave
Ste 206
Temecula, CA 92590

12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999

12830 Hesperia Rd
Ste Cde
Victorville, CA 92395
Phone (760) 684-8999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 96

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.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1922440684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44630 MONTEREY AVE STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603326",
            "telephone_number": "800-285-3755",
            "fax_number": "760-406-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-321-1315",
            "fax_number": "760-321-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12640 Hesperia Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957753",
            "country_code": "US",
            "telephone_number": "760-684-4143",
            "fax_number": "760-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 N Palm Canyon Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624431",
            "country_code": "US",
            "telephone_number": "760-320-8005",
            "fax_number": "760-406-6057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12830 Hesperia Rd Ste Abcd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957788",
            "country_code": "US",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81800 Doctor Carreon Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015595",
            "country_code": "US",
            "telephone_number": "760-347-7676",
            "fax_number": "760-347-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81812 Doctor Carreon Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015594",
            "country_code": "US",
            "telephone_number": "760-347-7676",
            "fax_number": "760-347-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 S San Jacinto Ave Ste Abfcd",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925835103",
            "country_code": "US",
            "telephone_number": "951-330-3100",
            "fax_number": "951-479-0116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7065 Indiana Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925064167",
            "country_code": "US",
            "telephone_number": "951-476-0115",
            "fax_number": "951-476-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOBIAS MOELLER-BERTRAM MD CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOBIAS MOELLER-BERTRAM MD CORPORATION",
        "enumeration_date": "2013-07-23",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "VON KOLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-285-3755"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A80383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifekind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.