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MIRAGE MEDICAL GROUP
NPI 1528208758
Specialist in Rancho Mirage, CA

Active since February 27, 2009
69844 HIGHWAY 111 STE K, ONE HAWKEYE PARK, RANCHO MIRAGE, CA 92270(760) 770-4166 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mirage Medical Group NPPES

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

MIRAGE MEDICAL GROUP (NPI 1528208758) is a healthcare organization registered as a specialist in Rancho Mirage, California and active in the NPI registry since February 2009. The organization lists Zoran Rubakovich, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1528208758
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMIRAGE MEDICAL GROUP
Location Address69844 HIGHWAY 111 STE K, ONE HAWKEYE PARKRancho Mirage, CA 92270-2849
Mailing Address44650 Village Ct Ste 100Palm Desert, CA 92260-3812 · (760) 346-4003
Phone(760) 770-4166
Organization SubpartNo
Authorized OfficialZoran RubakovichDirector Of Operations · (760) 346-4003
Enumeration DateFebruary 27, 2009
✔ NPI 1528208758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A51307
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
69844 HIGHWAY 111 STE K, Rancho Mirage, CA 92270
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Other Identifiers 3

OtherA51307CA · License
Medicare UPINF94592
Medicare PIN00A513071CA

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 Medical Group's NPI number?

The NPI number for Mirage Medical Group is 1528208758. It was assigned to this organization in the NPPES registry on February 27, 2009.

Where is Mirage Medical Group located?

Mirage Medical Group is located at 69844 Highway 111 Ste K One Hawkeye Park, Rancho Mirage, CA 92270. The listed phone number is (760) 770-4166.

What is Mirage Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mirage Medical Group was last updated on February 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.