EL MIRADOR SURGICAL CENTER
NPI 1053416818
Clinic/Center - Ambulatory Surgical in Palm Springs, CA

Active since September 14, 2006
1180 N INDIAN CANYON DR, SUITE 110, PALM SPRINGS, CA 92262(760) 416-4607(760) 416-4668 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About El Mirador Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EL MIRADOR SURGICAL CENTER (NPI 1053416818) is a healthcare organization registered as an ambulatory surgical in Palm Springs, California and active in the NPI registry since September 2006. The organization lists Michael Kyle Burtnett, Svp Of Outpatient Services, Tenet, as its authorized official.

NPPES Registry Identity

NPI1053416818
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTENET HEALTHSYSTEM DESERT INC.
Location Address1180 N INDIAN CANYON DR, SUITE 110Palm Springs, CA 92262-4800
Mailing Address1180 N Indian Canyon Dr, Suite 110Palm Springs, CA 92262-4800 · (760) 416-4607 · Fax (760) 416-4668
Fax(760) 416-4668
Organization SubpartNo
Authorized OfficialMichael Kyle BurtnettSvp Of Outpatient Services, Tenet · (469) 893-2153
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJune 3, 2014
✔ NPI 1053416818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1180 N INDIAN CANYON DR, Palm Springs, CA 92262

Other Names 1

Doing Business AsEl Mirador Surgical Center

Other Identifiers 2

Medicare PINZZZ00674Z
MedicaidSUR01321GCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

El Mirador Surgical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040318001071Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1180 N INDIAN CANYON DR, SUITE W201
PALM SPRINGS, CA 92262
Specialist
1180 N INDIAN CANYON DR, SUITE W-210
PALM SPRINGS, CA 92262
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1180 N INDIAN CANYON DR, E318
PALM SPRINGS, CA 92262
Internal Medicine (Infectious Disease)
1180 N INDIAN CANYON DR, SUITE E218
PALM SPRINGS, CA 92262
Orthopaedic Surgery
1180 N INDIAN CANYON DR, SUITE W201
PALM SPRINGS, CA 92262
Registered Nurse
1180 N INDIAN CANYON DR, SUITE 205 E
PALM SPRINGS, CA 92262
Internal Medicine (Pulmonary Disease)
1180 N INDIAN CANYON DR, SUITE E-420
PALM SPRINGS, CA 92262
Nurse Anesthetist, Certified Registered
1180 N INDIAN CANYON DR
PALM SPRINGS, CA 92262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tenet Healthsystem Desert Inc.'s NPI number?

The NPI number for Tenet Healthsystem Desert Inc. is 1053416818. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as El Mirador Surgical Center.

Where is Tenet Healthsystem Desert Inc. located?

Tenet Healthsystem Desert Inc. is located at 1180 N Indian Canyon Dr Suite 110, Palm Springs, CA 92262. The listed phone number is (760) 416-4607.

What is Tenet Healthsystem Desert Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Tenet Healthsystem Desert Inc. enrolled in Medicare?

Yes. Tenet Healthsystem Desert Inc. is registered in the Medicare PECOS enrollment system.

When is Tenet Healthsystem Desert Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Tenet Healthsystem Desert Inc. was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.