COACHELLA VALLEY RETINA
NPI 1376970228
Ophthalmology in Rancho Mirage, CA

Active since October 07, 2013
72301 COUNTRY CLUB DR, 108, RANCHO MIRAGE, CA 92270(760) 895-1993 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coachella Valley Retina NPPES

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

COACHELLA VALLEY RETINA (NPI 1376970228) is a healthcare organization registered as an ophthalmology in Rancho Mirage, California and active in the NPI registry since October 2013. The organization lists Camille Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1376970228
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCOACHELLA VALLEY RETINA
Location Address72301 COUNTRY CLUB DR, 108Rancho Mirage, CA 92270-8007
Mailing Address72301 Country Club Dr, 108Rancho Mirage, CA 92270-8007 · (760) 895-1993
Organization SubpartNo
Authorized OfficialCamille HarrisonOwner · (760) 895-1993
Enumeration DateOctober 7, 2013
Last NPPES UpdateNovember 25, 2013
✔ NPI 1376970228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
72301 COUNTRY CLUB DR, Rancho Mirage, CA 92270

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coachella Valley Retina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coachella Valley Retina, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1366520140
72301 COUNTRY CLUB DR SUITE 108
Rancho Mirage, CA 92270
(760) 895-1993
✔ PECOS✔ Accepts MedicareSame address

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 Coachella Valley Retina's NPI number?

The NPI number for Coachella Valley Retina is 1376970228. It was assigned to this organization in the NPPES registry on October 7, 2013.

Where is Coachella Valley Retina located?

Coachella Valley Retina is located at 72301 Country Club Dr 108, Rancho Mirage, CA 92270. The listed phone number is (760) 895-1993.

What is Coachella Valley Retina's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Coachella Valley Retina enrolled in Medicare?

Yes. Coachella Valley Retina is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coachella Valley Retina?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Coachella Valley Retina. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coachella Valley Retina was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.