| Desert Orthopedic Center A Medical Group Inc | |
| 
					39000 Bob Hope Dr, Harry & Diane Rinker Bldg, Bldg Fl 2 Rm 1 Rm, Rancho Mirage, CA 92270-3221  | |
| (760) 568-2684 | |
| (760) 341-5832 | 
| Full Name | Desert Orthopedic Center A Medical Group Inc | 
|---|---|
| Type | Facility | 
| Speciality | Orthopaedic Surgery | 
| Location | 39000 Bob Hope Dr, Harry & Diane Rinker Bldg, Rancho Mirage, California | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508967753 | NPI | - | NPPES | 
| ========= | Other | CA | TAX I.D. # | 
| Provider Name | David A Friscia | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1295750255 PECOS PAC ID: 0840238911 Enrollment ID: I20080519000467  | 
| Provider Name | Stephen J O Connell | 
|---|---|
| Provider Type | Practitioner - Hand Surgery | 
| Provider Identifiers | NPI Number: 1831114966 PECOS PAC ID: 6103864277 Enrollment ID: I20080520000157  | 
| Provider Name | James A Bell | 
|---|---|
| Provider Type | Practitioner - Sports Medicine | 
| Provider Identifiers | NPI Number: 1568484756 PECOS PAC ID: 3274617543 Enrollment ID: I20080522000462  | 
| Provider Name | Amir D Tahernia | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1902819477 PECOS PAC ID: 1456435726 Enrollment ID: I20080527000733  | 
| Provider Name | Patrick St Pierre | 
|---|---|
| Provider Type | Practitioner - Sports Medicine | 
| Provider Identifiers | NPI Number: 1548225931 PECOS PAC ID: 7113086075 Enrollment ID: I20081106000490  | 
| Provider Name | Matthew V Diltz | 
|---|---|
| Provider Type | Practitioner - Sports Medicine | 
| Provider Identifiers | NPI Number: 1447456579 PECOS PAC ID: 2163575572 Enrollment ID: I20090803000542  | 
| Provider Name | Phillip J Smith | 
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation | 
| Provider Identifiers | NPI Number: 1386879625 PECOS PAC ID: 6406902246 Enrollment ID: I20090921000542  | 
| Provider Name | Reginald S Fayssoux | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1326206459 PECOS PAC ID: 2860545050 Enrollment ID: I20100921001107  | 
| Provider Name | Ghassan Boghosian | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1255479044 PECOS PAC ID: 5890898316 Enrollment ID: I20110131000467  | 
| Provider Name | Hazmer Hannifa Cassim | 
|---|---|
| Provider Type | Practitioner - Pain Management | 
| Provider Identifiers | NPI Number: 1063611168 PECOS PAC ID: 5991897340 Enrollment ID: I20120327000833  | 
| Provider Name | Dustin T Briggs | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1295902492 PECOS PAC ID: 6204078728 Enrollment ID: I20130813000816  | 
| Provider Name | Erik A Schnaser | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1538340195 PECOS PAC ID: 5890913073 Enrollment ID: I20140829001724  | 
| Provider Name | Karimdad A Otarodi | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1518253046 PECOS PAC ID: 1951528009 Enrollment ID: I20151012002173  | 
| Provider Name | Julie Johnson | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1861601809 PECOS PAC ID: 4385813542 Enrollment ID: I20160510002307  | 
| Provider Name | David Daniel Savin | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1932498797 PECOS PAC ID: 7012227200 Enrollment ID: I20170830003285  | 
| Provider Name | Kevin Wong | 
|---|---|
| Provider Type | Practitioner - Pain Management | 
| Provider Identifiers | NPI Number: 1457693038 PECOS PAC ID: 0446553796 Enrollment ID: I20180921002738  | 
| Provider Name | Jacob R Bosley | 
|---|---|
| Provider Type | Practitioner - Hand Surgery | 
| Provider Identifiers | NPI Number: 1508077306 PECOS PAC ID: 8022266113 Enrollment ID: I20181008001979  | 
| Provider Name | Janet Elaine Conley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174908206 PECOS PAC ID: 4183926884 Enrollment ID: I20181206002387  | 
| Provider Name | Adam M Rife | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1336600196 PECOS PAC ID: 7012244346 Enrollment ID: I20190809000824  | 
| Provider Name | Adam R Wood | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1508511015 PECOS PAC ID: 5698160653 Enrollment ID: I20220310000478  | 
| Provider Name | Deep Patel | 
|---|---|
| Provider Type | Practitioner - Pain Management | 
| Provider Identifiers | NPI Number: 1396239919 PECOS PAC ID: 2668720921 Enrollment ID: I20230920002242  | 
| Provider Name | Cesar E Abdul-massih | 
|---|---|
| Provider Type | Practitioner - Sports Medicine | 
| Provider Identifiers | NPI Number: 1649732629 PECOS PAC ID: 8123353430 Enrollment ID: I20231006002890  | 
| Provider Name | Edward J Mcdonald | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1578058392 PECOS PAC ID: 1456713411 Enrollment ID: I20240710004332  | 
| Provider Name | Hansel E Ihn | 
|---|---|
| Provider Type | Practitioner - Sports Medicine | 
| Provider Identifiers | NPI Number: 1346781606 PECOS PAC ID: 1759633647 Enrollment ID: I20240712003722  | 
| Provider Name | Catherine N Makarem | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568163947 PECOS PAC ID: 1456892660 Enrollment ID: I20240916000651  | 
| Provider Name | Angel G Anderson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376306217 PECOS PAC ID: 1153853122 Enrollment ID: I20241015003010  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Desert Orthopedic Center A Medical Group Inc Po Box 1730, Rancho Mirage, CA 92270-1058 Ph: (760) 568-2684  | Desert Orthopedic Center A Medical Group Inc 39000 Bob Hope Dr, Harry & Diane Rinker Bldg, Bldg Fl 2 Rm 1 Rm, Rancho Mirage, CA 92270-3221 Ph: (760) 568-2684  |