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MIRAGE MEDICAL GROUP CENTER
NPI 1356811061
General Practice in Palm Desert, CA

Active since November 26, 2018
44650 VILLAGE CT STE 100, PALM DESERT, CA 92260(760) 346-4003(760) 346-4443 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirage Medical Group Center NPPES

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

MIRAGE MEDICAL GROUP CENTER (NPI 1356811061) is a healthcare organization registered as a general practice in Palm Desert, California and active in the NPI registry since November 2018. The organization lists Zoran Rubakovich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356811061
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMIRAGE MEDICAL GROUP CENTER
Location Address44650 VILLAGE CT STE 100Palm Desert, CA 92260-3812
Mailing Address44650 Village Ct Ste 100Palm Desert, CA 92260-3812 · (760) 346-4003 · Fax (760) 346-4443
Phone(760) 346-4003
Fax(760) 346-4443
Organization SubpartNo
Authorized OfficialZoran RubakovichAdministrator · (760) 346-4003
Enumeration DateNovember 26, 2018
✔ NPI 1356811061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedDermatologyTaxonomy 207N00000X
44650 VILLAGE CT STE 100, Palm Desert, CA 92260
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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

Other Providers at the Same Location NPPES

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

MIRAGE MEDICAL GROUP
Obstetrics & Gynecology
44650 VILLAGE CT STE 100
PALM DESERT, CA 92260
Riverside County (760) 346-4003

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 Medical Group Center's NPI number?

The NPI number for Mirage Medical Group Center is 1356811061. It was assigned to this organization in the NPPES registry on November 26, 2018.

Where is Mirage Medical Group Center located?

Mirage Medical Group Center is located at 44650 Village Ct Ste 100, Palm Desert, CA 92260. The listed phone number is (760) 346-4003.

What is Mirage Medical Group Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mirage Medical Group Center was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.