PRIME HEALTH ASSESSMENT MEDICAL GROUP INC
NPI 1164100061
Clinic/Center in Palm Springs, CA
About Prime Health Assessment Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HEALTH ASSESSMENT MEDICAL GROUP INC (NPI 1164100061) is a healthcare organization registered as a clinic/center in Palm Springs, California and active in the NPI registry since July 2023. The organization lists Lee Bella Mandap, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Health Assessment Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Prime Health Assessment Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prime Health Assessment Medical Group Inc's NPI number?
The NPI number for Prime Health Assessment Medical Group Inc is 1164100061. It was assigned to this organization in the NPPES registry on July 10, 2023.
Where is Prime Health Assessment Medical Group Inc located?
Prime Health Assessment Medical Group Inc is located at 4050 Airport Center Dr Ste B1, Palm Springs, CA 92264. The listed phone number is (916) 897-7321.
What is Prime Health Assessment Medical Group Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Prime Health Assessment Medical Group Inc enrolled in Medicare?
Yes. Prime Health Assessment Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Health Assessment Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Prime Health Assessment Medical Group Inc, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prime Health Assessment Medical Group Inc was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Prime Health Assessment Medical Group Inc · NPI 1164100061
Clinic/Center organization in Palm Springs, California. Organization record, active in the CMS NPPES registry since July 10, 2023.
## Identity
- **NPI:** 1164100061 (Entity type: Organization)
- **Enumerated:** July 10, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Lee Mandap, OWNER
## Practice location
- **Address:** 4050 AIRPORT CENTER DR STE B1, Palm Springs, CA 92264-1216
- **Phone:** (916) 897-7321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164100061) · Data from the CMS NPPES public registry.