Mirage on Call Medical Group Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A102790 Issued in CA

Legal business name

MIRAGE ON CALL MEDICAL GROUP INC

Practice address

39000 Bob Hope Dr
Probst Building, Suite 308
Rancho Mirage, CA 92270-3221

Phone

(760) 346-5688

NPI assigned

Apr 15, 2009

Last updated

May 29, 2009By 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. Solmaz B Azar, M.D.

Title

Chairman of the Board

Phone

(760) 346-5688

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• John L Kaufmann, MD

  • Infectious Disease Physician
  • Santa Cruz, CA
  • NPI 1265481949
  NPD (past)
• Vinita E Verghese, MD

  • Internal Medicine Physician
  • Rancho Mirage, CA
  • NPI 1952305880
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1932342227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "PROBST BUILDING, SUITE 308",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "PROBST BUILDING, SUITE 308",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE ON CALL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "SOLMAZ",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "760-346-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A102790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirage Ambulatory Surgery Center, Inc
• Mirage Care LLC
• Mirage Center Outpatient Surgery
• Mirage Endoscopy Center, L.P.
• Mirage Medical Group
• Mirage Pain and Rehabilitation Associates a Medical Group Inc (Desert Pain & Rehabilitation Associates)
• Mirage Pain and Rehabilitation Associates a Medical Group, Inc. (Desert Pain & Rehabilitation Associates)
• Mirage Physical Therapy, Inc
• Mirage Surgery Center
• Esmeralda Miranda

• Geriatric Medicine (Internal Medicine) Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.