Individual provider Active NPI

Xarlyn Pulido Rantung, NP-C

  • Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1952829228
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002649 Issued in CA
Practice address
42600 Mirage Rd BLDG A1
Rancho Mirage, CA 92270-4127
Phone
(760) 423-4000
Fax
(760) 318-8103
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002649 CA Primary

Addresses

Primary practice location

42600 Mirage Rd BLDG A1
Rancho Mirage, CA 92270-4127

Mailing address

42600 Mirage Rd BLDG A1
Rancho Mirage, CA 92270-4127
Phone (760) 423-4000

Other practice location 1

1180 N Indian Canyon Dr Ste E419
Palm Springs, CA 92262-4868
Phone (760) 423-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001678 CA Practitioner - Nurse Practitioner 9537390729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

42600 Mirage Rd
Suite A1
Rancho Mirage, CA 92270-4127
Phone (760) 423-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
95.83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002649CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contour Dermatology and Cosmetic Surgery Medical Center, Apc CurrentSince Oct 1, 2017 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

46080 Jefferson St
La Quinta, CA 92253
Phone (760) 423-4000

11326 Mountain View Ave
#B
Loma Linda, CA 92354
Phone (760) 423-4000

558 S Paseo Dorotea
Palm Springs, CA 92264
Phone (760) 423-4000

558 S Paseo Dorotea
Ste 6
Palm Springs, CA 92264
Phone (760) 423-4000

1180 N Indian Canyon Dr
Ste E419
Palm Springs, CA 92262
Phone (760) 320-5221

42600 Mirage Rd
Rancho Mirage, CA 92270
Phone (760) 423-4000

42600 Mirage Rd
Ste 1
Rancho Mirage, CA 92270

42600 Mirage Rd
Ste A1
Rancho Mirage, CA 92270
Phone (760) 416-6971

42600 Mirage Rd
#A1
Rancho Mirage, CA 92270

42600 Mirage Rd
Bldg A1
Rancho Mirage, CA 92270
Phone (760) 416-6971

Interoperability endpoints

  • Direct secure messaging: xrantung@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952829228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD BLDG A1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD BLDG A1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr Ste E419",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624868",
            "country_code": "US",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANTUNG",
        "first_name": "XARLYN",
        "middle_name": "PULIDO",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.