Rancho Mirage Fertility Medical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

C52107 Issued in CA

Legal business name

RANCHO MIRAGE FERTILITY MEDICAL CLINIC

Practice address

1199 N. Indian Canyon Drive
Suite a
Palm Springs, CA 92262-5516

Phone

(760) 346-4334

Fax

(760) 346-3663

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Lynette Renee Amador

Title

Director

Phone

(760) 346-4334

Specialties & licenses 2

Addresses

Other names 1

• Rancho MIrage Fertility Center Doing business as

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1962700260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 N. INDIAN CANYON DRIVE",
            "address_2": "SUITE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-346-4334",
            "fax_number": "760-346-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 N. INDIAN CANYON DRIVE",
            "address_2": "SUITE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625516",
            "telephone_number": "760-346-4334",
            "fax_number": "760-346-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE FERTILITY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-346-4334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C52107",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "H83663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho MIrage Fertility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moises Ramos Zendejas, LVN
• Alexis Jane Ramos
• Julia Ramos
• Mario Baens Ramos, M.D.
• Ramy a Awad MD Inc.
• Rancho Mirage Surgical Center Inc
• Thomas Alan Rancilio, RN
• Sonya Rangel, M.S.
• Narasimha P Rao, M.D.
• Christopher Andrew Rapoff, D.C.

• Specialist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.