Organization Active NPI

Las Palmas OB GYN Inc

  • Obstetrics & Gynecology Physician
  • Rancho Mirage, CA
National Provider Identifier
1962707984
Registry record updated Jan 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LAS PALMAS OB GYN INC
Practice address
72027 Highway 111
Suite a
Rancho Mirage, CA 92270-4961
Phone
(760) 610-8985
Fax
(760) 610-8998
NPI assigned
Jan 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2011

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

Authorized official

Name
Ronnie Bayne
Title
Practice Administrator
Phone
(760) 610-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

72027 Highway 111
Suite a
Rancho Mirage, CA 92270-4961

Mailing address

72027 Highway 111
Suite a
Rancho Mirage, CA 92270-4961
Phone (760) 610-8985

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ89650ZOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9086/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295654400000",
    "number": "1962707984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72027 HIGHWAY 111",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704961",
            "telephone_number": "760-610-8985",
            "fax_number": "760-610-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72027 HIGHWAY 111",
            "address_2": "SUITE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704961",
            "telephone_number": "760-610-8985",
            "fax_number": "760-610-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS PALMAS OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-01-22",
        "status": "A",
        "authorized_official_last_name": "BAYNE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "760-610-8985"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ89650Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 22, 2011; 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.