MIRAGE DERMATOLOGY MEDICAL ASSOCIATES, INC.
NPI 1346262375
Clinic/Center - Medical Specialty in Palm Desert, CA

Q: What is Timothy F. Richardson, M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since July 25, 2006

36867 COOK ST, SUITE 101, PALM DESERT, CA 92211(760) 341-1999(760) 341-1997 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mirage Dermatology Medical Associates, Inc. NPPES

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

MIRAGE DERMATOLOGY MEDICAL ASSOCIATES, INC. (NPI 1346262375) is a healthcare organization registered as a medical specialty in Palm Desert, California and active in the NPI registry since July 2006. The organization lists Timothy Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1346262375

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameTIMOTHY F. RICHARDSON, M.D., A MEDICAL CORPORATION

Location Address36867 COOK ST, SUITE 101Palm Desert, CA 92211-6064

Mailing AddressPo Box 1486Rancho Mirage, CA 92270-1049 · (760) 341-1999 · Fax (760) 341-1997

Phone(760) 341-1999

Fax(760) 341-1997

Organization SubpartNo

Authorized OfficialTimothy RichardsonPresident · (760) 341-1999

Enumeration DateJuly 25, 2006

Last NPPES UpdateJune 28, 2021

NPPES CertifiedJune 28, 2021

✔ NPI 1346262375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in CA · G53073

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

36867 COOK ST, Palm Desert, CA 92211

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Other Names 1

Doing Business AsMirage Dermatology Medical Associates, Inc.

Other Identifiers 1

OtherZZZ23174ZCA · Medicare Ptan

Other Providers at the Same Location NPPES 4

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

B. MAYA KATO M.D.

Otolaryngology

36867 COOK ST, SUITE 103
PALM DESERT, CA 92211

Riverside County (760) 565-3900

TIMOTHY RICHARDSON M.D.

Dermatology (MOHS-Micrographic Surgery)

36867 COOK ST, SUITE 101
PALM DESERT, CA 92211

Riverside County (760) 341-1999

CYNTHIA RICHARDSON R.N., N.P.

Nurse Practitioner

36867 COOK ST, SUITE 101
PALM DESERT, CA 92211

Riverside County (760) 341-1999

B. MAYA KATO, MD, A PROFESSIONAL CORPORATION

Otolaryngology

36867 COOK ST, SUITE 103
PALM DESERT, CA 92211

Riverside County (760) 565-3900

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 Timothy F. Richardson, M.D., A Medical Corporation's NPI number?

The NPI number for Timothy F. Richardson, M.D., A Medical Corporation is 1346262375. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Mirage Dermatology Medical Associates, Inc..

Where is Timothy F. Richardson, M.D., A Medical Corporation located?

Timothy F. Richardson, M.D., A Medical Corporation is located at 36867 Cook St Suite 101, Palm Desert, CA 92211. The listed phone number is (760) 341-1999.

What is Timothy F. Richardson, M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Timothy F. Richardson, M.D., A Medical Corporation was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.