Individual provider Active NPI

Peter Charles Shorts, LCSW

  • Clinical Social Worker
  • Rancho Mirage, CA
National Provider Identifier
1982113676
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75964 Issued in CA
Practice address
69550 Highway 111 Ste 202
Rancho Mirage, CA 92270-2887
Phone
(760) 902-4961
NPI assigned
Sep 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 75964 CA Primary

Addresses

Primary practice location

69550 Highway 111 Ste 202
Rancho Mirage, CA 92270-2887

Mailing address

69550 Highway 111 Ste 202
Rancho Mirage, CA 92270-2887
Phone (760) 902-4961

Other practice location 1

16830 Avenida Atezada
Desert Hot Springs, CA 92240
Phone (760) 902-4961

Other practice location 2

16830 Avenida Atezada
Desert Hot Springs, CA 92240
Phone (760) 902-4961

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418000983 CA Practitioner - Clinical Social Worker 4880935949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inland Psychiatric Medical Group Inc 119 clinicians

Practice addresses (Care Compare)

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75964CAMDMassage Therapist

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Single Specialty CurrentSince Mar 27, 2019 Accepting new patients
Peter C. Shorts Licensed Clinical Social Worker PC Clinical Current Accepting new patients
Ohana Integrative Health, LLC Clinical CurrentSince Oct 6, 2024 Accepting new patients
Psych Partners Single Specialty CurrentSince Apr 21, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc Clinical CurrentSince Mar 27, 2019 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients
Psychology Partners a Prof Corp Clinical PastSince Sep 14, 2025 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical PastSince Apr 6, 2025 Accepting new patients

Locations

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

69550 Highway 111
Ste 202
Rancho Mirage, CA 92270
Phone (760) 902-4961

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: peter.shorts.1@10039.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1982113676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69550 HIGHWAY 111 STE 202",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702887",
            "telephone_number": "760-902-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69550 HIGHWAY 111 STE 202",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702887",
            "telephone_number": "760-902-4961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16830 Avenida Atezada",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "92240",
            "country_code": "US",
            "telephone_number": "760-902-4961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16830 Avenida Atezada",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "92240",
            "country_code": "US",
            "telephone_number": "760-902-4961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORTS",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.