DESERT PAIN SPECIALISTS, INC
NPI 1114244126
Specialist in Rancho Mirage, CA
NPI Status: Active since April 29, 2010
Contact Information
72780 COUNTRY CLUB DR STE C300
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 341-5550
Fax: (833) 471-2093
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 05D1098704
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-09-2027
About DESERT PAIN SPECIALISTS, INC
This page provides the complete NPI Profile along with additional information for Desert Pain Specialists, Inc, a provider established in Rancho Mirage, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1114244126 assigned on April 2010. The practitioner's primary taxonomy code is 174400000X with license number A86192 (CA). The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Andrea P Bolanos (Site Admin)
- NPI
- 1114244126
- Provider Name
- DESERT PAIN SPECIALISTS, INC
- Entity Type
- Organization
- Location Address
- 72780 COUNTRY CLUB DR STE C300 RANCHO MIRAGE, CA 92270
- Location Phone
- (760) 341-5550
- Location Fax
- (833) 471-2093
- Mailing Address
- 72780 COUNTRY CLUB DR STE C300 RANCHO MIRAGE, CA 92270
- Mailing Phone
- (760) 341-5550
- Mailing Fax
- (833) 471-2093
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2010
- Last Update Date
- 02-17-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- A86192
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1098704
- Facility Type
- Physician Office
- Certificate Effective Date
- December 10, 2025
- Certificate Expiration Date
- December 09, 2027
- Laboratory Director
- ALBERT LAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Desert Pain Specialists, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DESERT PAIN SPECIALISTS, INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114244126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114244126, enumerated as an "organization" on April 29, 2010.
The provider is located at 72780 COUNTRY CLUB DR STE C300 RANCHO MIRAGE, CA 92270 and the phone number is (760) 341-5550.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.