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MONTEREY OBGYN MEDICAL GROUP INC
NPI 1881861797
Specialist in Rancho Mirage, CA

Active since May 09, 2008CLIA 05D0887377 · Waiver
72780 COUNTRY CLUB DR STE A103, RANCHO MIRAGE, CA 92270(760) 779-5511(760) 773-3320 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monterey Obgyn Medical Group Inc NPPES

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

MONTEREY OBGYN MEDICAL GROUP INC (NPI 1881861797) is a healthcare organization registered as a specialist in Rancho Mirage, California and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Enrique G Jacome, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1881861797
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMONTEREY OBGYN MEDICAL GROUP INC
Location Address72780 COUNTRY CLUB DR STE A103Rancho Mirage, CA 92270
Mailing Address72780 Country Club Dr Ste A103Rancho Mirage, CA 92270 · (760) 779-5511 · Fax (760) 773-3320
Phone(760) 779-5511
Fax(760) 773-3320
Organization SubpartNo
Authorized OfficialEnrique G JacomeOwner/physician · (760) 779-5511
Enumeration DateMay 9, 2008
✔ NPI 1881861797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A44682
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.
72780 COUNTRY CLUB DR STE A103, Rancho Mirage, CA 92270
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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)

Monterey Obgyn Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Monterey Obgyn Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Enrique Jacome, MD
Obstetrics/Gynecology
NPI 1942300942
72780 COUNTRY CLUB DR SUITE A103
Rancho Mirage, CA 92270
(760) 779-5511
✔ PECOS✔ Accepts MedicareSame address
Eduardo Garza, M.D.
Obstetrics/Gynecology
NPI 1053371690
71943 HIGHWAY 111
Rancho Mirage, CA 92270
(760) 834-7982
✔ PECOS✔ Accepts Medicare1.7 mi
Sarah Mcintosh
Nurse Practitioner
NPI 1790297174
71943 HIGHWAY 111
Rancho Mirage, CA 92270
(760) 834-7982
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0887377

Monterey Ob/Gyn Medical Group, Inc · Rancho Mirage, CA
Active · expires Jun 9, 2028
CLIA Number05D0887377
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorEnrique G. Jacome
Laboratory Phone(760) 779-5511
Laboratory LocationMonterey Ob/Gyn Medical Group, Inc72780 Country Club Dr A 103, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Monterey Obgyn Medical Group Inc's NPI number?

The NPI number for Monterey Obgyn Medical Group Inc is 1881861797. It was assigned to this organization in the NPPES registry on May 9, 2008.

Where is Monterey Obgyn Medical Group Inc located?

Monterey Obgyn Medical Group Inc is located at 72780 Country Club Dr Ste A103, Rancho Mirage, CA 92270. The listed phone number is (760) 779-5511.

What is Monterey Obgyn Medical Group Inc's specialty?

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

Is Monterey Obgyn Medical Group Inc enrolled in Medicare?

Yes. Monterey Obgyn Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Monterey Obgyn Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Monterey Obgyn Medical Group Inc, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Monterey Obgyn Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0887377) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monterey Obgyn Medical Group Inc was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.