GARY PROFFETT M.D. NPI 1932254570

NPI Information

  • NPI: 1932254570
  • Provider Name: GARY PROFFETT, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 46 CALLE DEL NORTE
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (805) 658-2552

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NPI Details

Gary Proffett, M.D. is a general practice in Rancho Mirage, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Gary Proffett, M.D. NPI is 1932254570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46 CALLE DEL NORTE
RANCHO MIRAGE, CA
ZIP 92270-210
Phone: (805) 658-2552

The NPI 1932254570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)

The enumeration date for this NPI number is 1/24/2007 and was last updated on 7/8/2007.

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
1208D00000XGeneral PracticeA31780CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WA31780AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200A317800MEDICAIDCALIFORNIA
3A26598MEDICARE UPIN

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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