DESERT PAIN SPECIALISTS, INC
NPI 1114244126
Specialist in Rancho Mirage, CA

Active since April 29, 2010CLIA 05D1098704 · Waiver
72780 COUNTRY CLUB DR STE C300, RANCHO MIRAGE, CA 92270(760) 341-5550(833) 471-2093 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2023, Jul 16, 2019 (2 updates tracked since 2019).

About Desert Pain Specialists, Inc NPPES

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

DESERT PAIN SPECIALISTS, INC (NPI 1114244126) is a healthcare organization registered as a specialist in Rancho Mirage, California and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Andrea P Bolanos, Site Admin, as its authorized official.

NPPES Registry Identity

NPI1114244126
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDESERT PAIN SPECIALISTS, INC
Location Address72780 COUNTRY CLUB DR STE C300Rancho Mirage, CA 92270-4150
Mailing Address72780 Country Club Dr Ste C300Rancho Mirage, CA 92270-4150 · (760) 341-5550 · Fax (760) 341-6050
Fax(833) 471-2093
Organization SubpartNo
Authorized OfficialAndrea P BolanosSite Admin · (760) 341-2360
Enumeration DateApril 29, 2010
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1114244126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A86192
Definition
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.
72780 COUNTRY CLUB DR STE C300, Rancho Mirage, CA 92270

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Pain Specialists, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Desert Pain Specialists, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Pain Management
NPI 1730208059
39800 PORTOLA AVE
Palm Desert, CA 92260
(760) 341-2360
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1098704

Desert Pain Specialists, Inc · Rancho Mirage, CA
Active · expires Dec 9, 2027
CLIA Number05D1098704
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorRoland D. Reinhart
Laboratory Phone(760) 341-5550
Laboratory LocationDesert Pain Specialists, Inc72780 Country Club Dr Ste C300, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Desert Pain Specialists, Inc's NPI number?

The NPI number for Desert Pain Specialists, Inc is 1114244126. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is Desert Pain Specialists, Inc located?

Desert Pain Specialists, Inc is located at 72780 Country Club Dr Ste C300, Rancho Mirage, CA 92270. The listed phone number is (760) 341-5550.

What is Desert Pain Specialists, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Desert Pain Specialists, Inc enrolled in Medicare?

Yes. Desert Pain Specialists, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Pain Specialists, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Desert Pain Specialists, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Desert Pain Specialists, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1098704) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Pain Specialists, Inc was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.