Mirage Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIRAGE SURGERY CENTER

Practice address

71949 Highway 111
Suite 300
Rancho Mirage, CA 92270-4826

Phone

(760) 568-2211

NPI assigned

Oct 5, 2008

Last updated

Oct 5, 2008By 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

Melissa Favale

Title

Administrator

Phone

(805) 581-5575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223164800000",
    "number": "1932350238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71949 HIGHWAY 111",
            "address_2": "SUITE 300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704826",
            "telephone_number": "760-568-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71949 HIGHWAY 111",
            "address_2": "SUITE 300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704826",
            "telephone_number": "760-568-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-05",
        "last_updated": "2008-10-05",
        "status": "A",
        "authorized_official_last_name": "FAVALE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-581-5575"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirage Medical Group
• Mirage on Call Medical Group Inc
• 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
• Esmeralda Miranda
• Farshid Mirzaee, MD
• Elizabeth Misi
• Mission Home Health of Rancho Mirage, Inc.
• Mission Hospice Services of Rancho Mirage, LLC

• Ambulatory Surgical Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2008; 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.