RANCHO MIRAGE SURGERY CENTER LLC NPI 1154593481

NPI Information

  • NPI: 1154593481
  • Provider Name: RANCHO MIRAGE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: RANCHO MIRAGE SURGERY CENTER
  • CLIA Number: 05D1089177
  • Address: 35-800 BOB HOPE DRIVE
    SUITE 100
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (760) 699-6500

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NPI Details

RANCHO MIRAGE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Rancho Mirage, CA. RANCHO MIRAGE SURGERY CENTER, LLC NPI is 1154593481. The provider is registered as an organization entity type.
The provider Is Doing Business As Rancho Mirage Surgery Center.

The provider's business location address is:

35-800 BOB HOPE DRIVE
SUITE 100
RANCHO MIRAGE, CA
ZIP 92270-722
Phone: (760) 699-6500
Fax: (760) 699-6555

The provider's authorized official is Lilli A Mandelik .
The authorized official title is Administrator and has the following contact phone number (760) 699-6500.

The CLIA number assigned to this NPI record is 05D1089177 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Exploration of nasal sinus using an endoscope (HCPCS:31276)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Repair of brow paralysis (HCPCS:67900)
  • Incision of nasal sinus using an endoscope (HCPCS:31256)
  • Correction of toe joint deformity (HCPCS:28285)
  • Exam of nose and sinus with removal of nasal sinus using an endoscope (HCPCS:31257)
  • Removal of tissue from sphenoid sinus using an endoscope (HCPCS:31259)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Insertion of needle or tube into prostate for radiation therapy (HCPCS:55875)
  • Complex application of radiation source (HCPCS:77778)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)

The enumeration date for this NPI number is 3/27/2008 and was last updated on 1/15/2009.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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