Active NPI
Aaron Michael Omlor, P.A.
- Physician Assistant
- Rancho Mirage, CA
National Provider Identifier
1992948764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57555
- Practice address
- 36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001 - Phone
- (760) 321-1315
- Fax
- (760) 321-1094
- NPI assigned
- Apr 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1086068 | GA | |
| Physician Assistant | 363A00000X | 57555 | CA | Primary |
Addresses
Primary practice location
36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001
Mailing address
1445 Passage St
Palm Springs, CA 92262-0587
Phone (047) 081-2749
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57555 | CA | MD | General Practice Dentistry |
| 1086068 | GA | MD | Physician Assistant |
Interoperability endpoints
- aaron.omlor.p5@direct.mydohc.nextgenshare.com
- aaron.omlor.p2@direct.mydohc.nextgenshare.com
Organizations & group practices 1
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": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1992948764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 PASSAGE ST",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922620587",
"telephone_number": "047-081-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36101 BOB HOPE DR STE A",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702001",
"telephone_number": "760-321-1315",
"fax_number": "760-321-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMLOR",
"first_name": "AARON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "1086068",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57555",
"primary": true
}
],
"identifiers": [],
"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 Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.