DESERT PAIN SPECIALISTS INC NPI 1114244126

NPI Information

  • NPI: 1114244126
  • Provider Name: DESERT PAIN SPECIALISTS, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D1098704
  • Address: 72780 COUNTRY CLUB DR STE C300
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (760) 341-5550

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NPI Details

DESERT PAIN SPECIALISTS, INC is a specialist in Rancho Mirage, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DESERT PAIN SPECIALISTS, INC NPI is 1114244126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

72780 COUNTRY CLUB DR STE C300
RANCHO MIRAGE, CA
ZIP 92270-150
Phone: (760) 341-5550
Fax: (833) 471-2093

The provider's authorized official is Shane Speirs .
The authorized official title is President/cmo and has the following contact phone number (480) 495-5485.

The CLIA number assigned to this NPI record is 05D1098704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2010 and was last updated on 10/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA86192CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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