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MIRAGE SURGERY CENTER
NPI 1932350238
Clinic/Center - Ambulatory Surgical in Rancho Mirage, CA

Active since October 05, 2008CLIA 05D1094024 · Waiver
71949 HIGHWAY 111, SUITE 300, RANCHO MIRAGE, CA 92270(760) 568-2211 Get Directions Write a Review

NPPES record last updated: October 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mirage Surgery Center NPPES

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

MIRAGE SURGERY CENTER (NPI 1932350238) is a healthcare organization registered as an ambulatory surgical in Rancho Mirage, California and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Melissa Favale, Administrator, as its authorized official.

NPPES Registry Identity

NPI1932350238
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMIRAGE SURGERY CENTER
Location Address71949 HIGHWAY 111, SUITE 300Rancho Mirage, CA 92270-4826
Mailing Address71949 Highway 111, Suite 300Rancho Mirage, CA 92270-4826 · (760) 568-2211
Phone(760) 568-2211
Organization SubpartNo
Authorized OfficialMelissa FavaleAdministrator · (805) 581-5575
Enumeration DateOctober 5, 2008
✔ NPI 1932350238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
71949 HIGHWAY 111, Rancho Mirage, CA 92270
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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 05D1094024

Mirage Surgery Center · Rancho Mirage, CA
Active · expires Jan 7, 2027
CLIA Number05D1094024
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorAndrew P. Ordon, MD
Laboratory Phone(760) 568-2211
Laboratory LocationMirage Surgery Center71-949 Hwy 111, Ste 300, Rancho Mirage, CA 92270
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. ANDREW P ORDON M.D.
Specialist
71949 HIGHWAY 111, SUITE 300
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-2211
DR. MINAKSHI NARULA DDS, MDS
Dentist (Orthodontics and Dentofacial Orthopedics)
71949 HIGHWAY 111, SUITE 200
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-2026
HARRIS ANESTHESIA SERVICES A PRO CERTIFIED REGISTERED NURSING ANEST
Nurse Anesthetist, Certified Registered
71949 HIGHWAY 111, SUITE 300
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-2211
WESTERN UNIVERSITY OF HEALTH SCIENCES
Clinic/Center (Dental)
71949 HIGHWAY 111
RANCHO MIRAGE, CA 92270
Riverside County (909) 706-3943
DR. MARTESIA A MARSHALL DDS
Student in an Organized Health Care Education/Training Program
71949 HIGHWAY 111, #100B
RANCHO MIRAGE, CA 92270
Riverside County (760) 565-6055
SAHARA SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
71949 HIGHWAY 111
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-2211
TALAL ELKHYAT
Dentist (General Practice)
71949 HIGHWAY 111
RANCHO MIRAGE, CA 92270
Riverside County (760) 565-6055

Frequently Asked Questions

What is MIRAGE SURGERY CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1932350238, enumerated as an "organization" on October 05, 2008.

Where is the provider located?

The provider is located at 71949 HIGHWAY 111 SUITE 300 RANCHO MIRAGE, CA 92270 and the phone number is (760) 568-2211.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.