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MIRAGE CENTER OUTPATIENT SURGERY
NPI 1245128917
Oral & Maxillofacial Surgery in Rancho Mirage, CA

Active since June 24, 2025
39935 VISTA DEL SOL STE 101, RANCHO MIRAGE, CA 92270(760) 413-8182 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirage Center Outpatient Surgery NPPES

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

MIRAGE CENTER OUTPATIENT SURGERY (NPI 1245128917) is a healthcare organization registered as an oral & maxillofacial surgery in Rancho Mirage, California and active in the NPI registry since June 2025. The organization lists Justyn Mawby, Admin/or Supervisor, as its authorized official.

NPPES Registry Identity

NPI1245128917
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMIRAGE CENTER OUTPATIENT SURGERY
Location Address39935 VISTA DEL SOL STE 101Rancho Mirage, CA 92270-3211
Mailing Address39935 Vista Del Sol Ste 206Rancho Mirage, CA 92270-3211 · (760) 413-8182
Phone(760) 413-8182
Organization SubpartNo
Authorized OfficialJustyn MawbyAdmin/or Supervisor · (760) 485-9636
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1245128917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
39935 VISTA DEL SOL STE 101, Rancho Mirage, CA 92270
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mirage Center Outpatient Surgery's NPI number?

The NPI number for Mirage Center Outpatient Surgery is 1245128917. It was assigned to this organization in the NPPES registry on June 24, 2025.

Where is Mirage Center Outpatient Surgery located?

Mirage Center Outpatient Surgery is located at 39935 Vista Del Sol Ste 101, Rancho Mirage, CA 92270. The listed phone number is (760) 413-8182.

What is Mirage Center Outpatient Surgery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Mirage Center Outpatient Surgery was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.