Active NPI 1003071051 Individual Practitioner Female Practitioner

Dr. Adele Alexandra Fields , MD

Radiology - Diagnostic Radiology • Rancho Mirage, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adele Fields, MD is a certified Radiology - Diagnostic Radiology practicing in Rancho Mirage, CA. With approximately 20 years of clinical experience since graduating from Medical College Of Wisconsin in 2006, Dr. Fields delivers high-quality medical care to the local community at 39000 BOB HOPE DR.

Dr. Fields maintains professional affiliations with Palm Desert Radiology Medical Group Inc, Saint Agnes Medical Foundation, Eisenhower Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include screening mammography, screening digital tomography of both breasts, x-ray of chest, 1 view. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

39000 Bob Hope Dr

Rancho Mirage, CA 922703221

Telephone 7607731574

Fax 7607732038

Associated Practice Facility / Clinic

🏢 Barbara C. Comess, M.d., Inc. Facility NPI 1235123183

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Rancho Mirage, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -7.7 yrs vs City Avg

City Avg: 27.7 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

31 Specialists

Practicing in Rancho Mirage, CA (4739 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fields (20 Years) 20 Yrs

Rancho Mirage Specialty Average (27.7 Years) 27.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	1,535	1,140	$218.75	$88.01
77063 Screening digital tomography of both breasts	1,106	1,090	$107.79	$40.15
77067 Screening mammography	398	398	$118.00	$38.01
77063 Screening digital tomography of both breasts	397	397	$93.00	$29.86
71045 X-ray of chest, 1 view	230	215	$28.00	$8.74
77065 Diagnostic mammography of 1 breast	195	129	$212.47	$82.60
76642 Limited ultrasound scan of 1 breast	181	116	$161.82	$55.44
77066 Diagnostic mammography of both breasts	127	85	$247.75	$96.94
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	94	92	$93.00	$29.39
71046 X-ray of chest, 2 views	81	81	$34.00	$10.89
77065 Diagnostic mammography of 1 breast	69	62	$127.00	$39.78
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	55	55	$93.00	$29.30
76642 Limited ultrasound scan of 1 breast	43	43	$138.05	$38.33
19081 Biopsy of breast accessed through the skin with stereotactic guidance	37	37	$1250.86	$536.77
77066 Diagnostic mammography of both breasts	36	36	$156.00	$48.66
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	32	31	$1286.41	$525.88
76098 X-ray of surgical specimen	29	28	$25.00	$15.72
70450 Ct scan head or brain without contrast	19	19	$132.00	$40.61
76098 X-ray of surgical specimen	17	17	$71.12	$30.45
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	16	16	$493.00	$148.38
76770 Complete ultrasound scan behind abdominal cavity	16	16	$115.00	$36.35
19285 Placement of locating device in breast using ultrasound guidance, first growth	14	14	$835.00	$354.74
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	14	14	$517.00	$265.19
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	14	14	$123.00	$39.45
76705 Limited ultrasound scan of abdomen	14	14	$91.00	$28.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	1,136	1,135	$118.00	$36.57
77063 Screening digital tomography of both breasts	1,120	1,119	$93.00	$29.00
71045 X-ray of chest, 1 view	242	215	$28.00	$8.85
77065 Diagnostic mammography of 1 breast	173	149	$127.00	$38.45
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	171	164	$93.00	$29.19
77067 Screening mammography	146	146	$118.00	$36.57
77063 Screening digital tomography of both breasts	142	142	$93.00	$29.00
71046 X-ray of chest, 2 views	132	131	$34.00	$10.59
76642 Limited ultrasound scan of 1 breast	106	104	$122.00	$35.19
77066 Diagnostic mammography of both breasts	78	78	$156.00	$47.33
76098 X-ray of surgical specimen	64	62	$25.00	$15.26
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	39	38	$493.00	$145.98
77065 Diagnostic mammography of 1 breast	25	22	$127.00	$38.78
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	25	25	$93.00	$29.12
70450 Ct scan head or brain without contrast	24	24	$132.00	$40.02
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	23	23	$316.00	$97.83
19081 Biopsy of breast accessed through the skin with stereotactic guidance	22	22	$524.00	$154.92
76770 Complete ultrasound scan behind abdominal cavity	18	18	$115.00	$35.02
19285 Placement of locating device in breast using ultrasound guidance, first growth	17	17	$270.00	$83.66
71046 X-ray of chest, 2 views	17	17	$34.00	$10.59
73562 X-ray of knee, 3 views	14	14	$29.00	$9.22
76642 Limited ultrasound scan of 1 breast	14	14	$121.14	$35.26
73030 X-ray of shoulder, minimum of 2 views	12	12	$29.00	$9.21
76705 Limited ultrasound scan of abdomen	12	12	$91.00	$27.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$69.00	$21.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	1,111	1,111	$118.00	$37.30
77063 Screening digital tomography of both breasts	1,106	1,103	$93.00	$29.87
71045 X-ray of chest, 1 view	353	318	$28.00	$9.09
71046 X-ray of chest, 2 views	252	248	$34.00	$10.86
77065 Diagnostic mammography of 1 breast	185	152	$127.00	$39.77
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	183	173	$93.00	$29.95
76642 Limited ultrasound scan of 1 breast	133	129	$114.77	$34.90
76098 X-ray of surgical specimen	84	80	$25.00	$15.70
77066 Diagnostic mammography of both breasts	71	70	$156.00	$48.97
73562 X-ray of knee, 3 views	48	42	$29.00	$9.47
70450 Ct scan head or brain without contrast	37	36	$132.00	$40.89
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	29	29	$493.00	$157.11
73030 X-ray of shoulder, minimum of 2 views	20	17	$29.00	$9.45
76770 Complete ultrasound scan behind abdominal cavity	19	19	$115.00	$36.31
19285 Placement of locating device in breast using ultrasound guidance, first growth	18	18	$270.00	$81.09
71046 X-ray of chest, 2 views	18	18	$34.00	$10.81
19081 Biopsy of breast accessed through the skin with stereotactic guidance	17	17	$524.00	$166.34
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	16	16	$316.00	$100.33
76705 Limited ultrasound scan of abdomen	16	16	$91.00	$28.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$69.00	$21.74
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$106.00	$34.00
71275 Ct scan of blood vessels of chest with contrast	11	11	$284.00	$89.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	697	697	$117.05	$39.02
77063 Screening digital tomography of both breasts	540	540	$93.00	$30.96
71045 X-ray of chest, 1 view	212	208	$28.87	$9.38
77065 Diagnostic mammography of 1 breast	170	154	$123.68	$40.97
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	151	149	$193.31	$30.98
76642 Limited ultrasound scan of 1 breast	122	120	$114.69	$35.80
77066 Diagnostic mammography of both breasts	98	98	$152.17	$50.43
71046 X-ray of chest, 2 views	46	46	$34.00	$11.19
76098 X-ray of surgical specimen	31	30	$25.26	$16.22
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	28	28	$1034.50	$162.81
77067 Screening mammography	28	28	$380.00	$141.16
70450 Ct scan head or brain without contrast	27	27	$134.78	$43.18
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$48.00	$10.14
71046 X-ray of chest, 2 views	22	22	$105.00	$35.68
77063 Screening digital tomography of both breasts	21	21	$150.00	$58.05
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$358.00	$40.73
19081 Biopsy of breast accessed through the skin with stereotactic guidance	15	15	$1231.33	$172.73
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	15	15	$398.00	$103.49
73630 X-ray of foot, minimum of 3 views	14	13	$26.64	$8.65
77049 Mri of both breasts with and without contrast	12	12	$341.00	$116.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	507	494	$29.00	$9.48
77067 Screening mammography	319	319	$115.00	$39.48
76642 Limited ultrasound scan of 1 breast	149	137	$120.23	$37.53
77065 Diagnostic mammography of 1 breast	145	127	$121.00	$42.52
77066 Diagnostic mammography of both breasts	116	115	$151.00	$52.01
77063 Screening digital tomography of both breasts	106	106	$93.00	$30.52
71046 X-ray of chest, 2 views	101	101	$34.00	$11.33
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	65	63	$280.00	$31.14
70450 Ct scan head or brain without contrast	43	43	$135.00	$44.08
77067 Screening mammography	39	39	$380.00	$142.99
76770 Complete ultrasound scan behind abdominal cavity	32	32	$115.00	$38.05
71046 X-ray of chest, 2 views	31	30	$105.00	$34.15
77080 Dxa bone density measurement of hip, pelvis, spine	28	28	$48.00	$10.25
77080 Dxa bone density measurement of hip, pelvis, spine	27	27	$358.00	$41.03
77049 Mri of both breasts with and without contrast	25	23	$341.00	$119.48
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	24	24	$1576.00	$167.17
76705 Limited ultrasound scan of abdomen	24	24	$92.00	$30.37
71275 Ct scan of blood vessels of chest with contrast	19	19	$285.00	$94.54
73562 X-ray of knee, 3 views	18	16	$30.00	$9.90
19081 Biopsy of breast accessed through the skin with stereotactic guidance	17	17	$1585.00	$176.38
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	17	17	$562.00	$106.36
76098 X-ray of surgical specimen	14	14	$26.00	$16.50
93880 Ultrasound of both sides of head and neck blood flow	12	12	$555.00	$203.05
93880 Ultrasound of both sides of head and neck blood flow	11	11	$104.00	$41.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$58.00	$23.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$90.00	$36.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	477	477	$109.49	$38.58
71045 X-ray of chest, 1 view	310	302	$30.12	$9.32
77065 Diagnostic mammography of 1 breast	208	187	$112.06	$41.95
76642 Limited ultrasound scan of 1 breast	170	157	$125.41	$37.15
77066 Diagnostic mammography of both breasts	146	145	$140.18	$51.46
77063 Screening digital tomography of both breasts	109	109	$62.15	$30.42
71046 X-ray of chest, 2 views	106	106	$35.47	$11.04
77067 Screening mammography	52	52	$380.00	$139.54
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	46	46	$151.65	$30.70
77080 Dxa bone density measurement of hip, pelvis, spine	41	41	$358.00	$41.09
19081 Biopsy of breast accessed through the skin with stereotactic guidance	34	33	$957.35	$175.58
71046 X-ray of chest, 2 views	33	33	$105.00	$32.50
77080 Dxa bone density measurement of hip, pelvis, spine	32	32	$41.75	$10.06
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	31	31	$872.13	$165.53
77049 Mri of both breasts with and without contrast	25	23	$366.20	$117.69
76770 Complete ultrasound scan behind abdominal cavity	22	22	$109.00	$37.01
76098 X-ray of surgical specimen	21	19	$24.43	$8.30
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	18	17	$379.33	$105.21
73562 X-ray of knee, 3 views	15	13	$29.60	$9.76
74220 Single contrast x-ray of esophagus	14	14	$71.00	$34.72
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$60.50	$23.17
77065 Diagnostic mammography of 1 breast	14	13	$264.00	$137.81
76641 Complete ultrasound scan of 1 breast	12	11	$370.00	$123.86
70450 Ct scan head or brain without contrast	11	11	$127.27	$42.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	519	519	$106.00	$38.65
71045 X-ray of chest, 1 view	309	297	$31.00	$9.37
77065 Diagnostic mammography of 1 breast	221	196	$106.00	$41.55
76642 Limited ultrasound scan of 1 breast	217	196	$140.06	$38.07
77066 Diagnostic mammography of both breasts	172	170	$131.00	$50.97
71046 X-ray of chest, 2 views	140	140	$37.00	$11.20
77063 Screening digital tomography of both breasts	73	73	$34.00	$30.31
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	46	44	$34.00	$30.64
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	42	42	$485.00	$162.62
76098 X-ray of surgical specimen	27	25	$23.00	$8.30
70450 Ct scan head or brain without contrast	27	27	$118.00	$41.94
19081 Biopsy of breast accessed through the skin with stereotactic guidance	25	25	$518.00	$175.30
77080 Dxa bone density measurement of hip, pelvis, spine	24	24	$28.00	$10.42
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	23	22	$288.00	$105.10
0159T Computer-aided detection and computer algorithm analysis of breast MRI image data	22	21	$10.00	$3.11
77059 MRI scan of both breasts with contrast	21	20	$228.00	$83.67
77067 Screening mammography	18	18	$345.11	$141.57
76705 Limited ultrasound scan of abdomen	18	18	$81.00	$30.01
74220 Single contrast x-ray of esophagus	18	17	$65.00	$23.81
76770 Complete ultrasound scan behind abdominal cavity	16	16	$103.00	$37.94
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$63.00	$23.15
71046 X-ray of chest, 2 views	14	14	$89.93	$28.48
73562 X-ray of knee, 3 views	12	12	$29.00	$9.75
76700 Ultrasound of abdomen	11	11	$113.00	$41.38
93880 Ultrasound of both sides of head and neck blood flow	11	11	$83.00	$41.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	420	420	$106.00	$36.75
71010 X-ray of chest, 1 view, front	359	338	$26.00	$9.18
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	171	151	$106.00	$38.97
76642 Limited ultrasound scan of 1 breast	134	123	$137.64	$37.42
71020 X-ray of chest, 2 views, front and side	127	127	$30.00	$10.89
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	104	102	$131.00	$48.00
77063 Screening digital tomography of both breasts	46	46	$36.91	$30.19
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$28.00	$10.18
74220 Single contrast x-ray of esophagus	41	40	$65.00	$23.28
70450 Ct scan head or brain without contrast	33	33	$118.00	$42.74
74176 Ct scan of abdomen and pelvis without contrast	28	28	$243.00	$87.62
76770 Complete ultrasound scan behind abdominal cavity	25	25	$103.00	$37.06
77059 MRI scan of both breasts with contrast	24	24	$228.00	$80.02
0159T Computer-aided detection and computer algorithm analysis of breast MRI image data	23	23	$10.00	$3.03
19081 Biopsy of breast accessed through the skin with stereotactic guidance	23	22	$518.00	$166.01
71250 Ct scan of chest without contrast	22	22	$141.00	$51.10
76705 Limited ultrasound scan of abdomen	21	21	$81.00	$29.48
93880 Ultrasound of both sides of head and neck blood flow	20	20	$83.00	$40.42
71020 X-ray of chest, 2 views, front and side	19	19	$92.00	$27.85
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	19	19	$44.74	$30.35
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	18	17	$288.00	$103.31
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	18	18	$485.00	$162.21
73562 X-ray of knee, 3 views	16	14	$29.00	$9.54
74250 X-ray of small intestine	16	16	$66.00	$23.22
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$63.00	$22.20
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	15	15	$365.00	$133.95
76098 X-ray of surgical specimen	14	13	$23.00	$8.11
74000 X-ray of abdomen, single view	12	12	$26.00	$9.20
73630 X-ray of foot, minimum of 3 views	12	12	$24.00	$8.48
74240 Single contrast x-ray of upper digestive tract	12	12	$97.00	$34.95
73502 X-ray of hip, 2-3 views	12	12	$36.00	$11.32
71275 Ct scan of blood vessels of chest with contrast	11	11	$268.00	$91.77
76700 Ultrasound of abdomen	11	11	$113.00	$40.54
73030 X-ray of shoulder, minimum of 2 views	11	11	$29.00	$9.54

Medical Specialties & State Licenses

CMS Verified: 2025-09-16

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License CA C167040

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1003071051 (CA)

Hospital & Practice Group Affiliations

Eisenhower Medical Center

39000 Bob Hope Dr, Rancho Mirage, CA 922703221

Phone: 7603403911

Eisenhower Medical Center

45280 Seeley Dr, La Quinta, CA 922536834

Phone: 7606107200

Saint Agnes Medical Foundation

1510 E Herndon Ave, Fresno, CA 937203333

Phone: 5594506742

Palm Desert Radiology Medical Group Inc

39000 Bob Hope Dr, Rancho Mirage, CA 922703221

Phone: 7607731251

Eisenhower Medical Center

151 S Sunrise Way, Palm Springs, CA 922620118

Phone: 7609697780

Eisenhower Medical Center

39950 Vista Del Sol, Rancho Mirage, CA 922703206

Phone: 7603400053

Secondary Practice Locations

45280 Seeley Dr

La Quinta, CA 922536834

Phone: 7607732038

151 S Sunrise Way

Palm Springs, CA 922620118

Phone: 7607732038

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Norma Zapata , LCSW

Social Worker - Clinical

NPI 1003024555

Licensed Clinical Social Worker

Dr. Peter Sofia , MD

Anesthesiology

NPI 1003159484

Doctor of Medicine (M.D.)

Andrea Corpora , PA-C

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003160888

Physician Assistant (Certified)

Dr. Sevwandi De Silva , MD

Internal Medicine - Pulmonary Disease

NPI 1003343799

Doctor of Medicine (M.D.)

Ervin Xhufka , NP

Nurse Practitioner - Family

NPI 1003441288

Nurse Practitioner

Dr. Logan Buckner , PT, DPT

Physical Therapist

NPI 1003584814

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location September 16, 2025

Registered at 39000 BOB HOPE DR, RANCHO MIRAGE, CA 922703221 (Tel: 7607731574)

📍

Updated Business Mailing Address September 16, 2025

Registered at 39000 BOB HOPE DR, RANCHO MIRAGE, CA 922703221 (Tel: 7607731574)

📍

Updated Practice Location February 20, 2025

Registered at 1510 E HERNDON AVE STE 110, FRESNO, CA 937203333 (Tel: 5594506742)

📍

Updated Business Mailing Address February 20, 2025

Registered at PO BOX 678510, DALLAS, TX 752678510 (Tel: 8004753698)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2025

Radiology (License #C167040 in CA)

✅

NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 31, 2015

Registered at 25500 POINT LOOKOUT RD, DEPT. OF RADIOLOGY, LEONARDTOWN, MD 206502015 (Tel: 3014756106)

📍

Updated Business Mailing Address August 31, 2015

Registered at 4061 POWDER MILL RD, SUITE 210, CALVERTON, MD 207053149 (Tel: 2026698501)

👤

Provider Name / Credentials Updated August 31, 2015

Recorded as ADELE FIELDS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Radiology (License #D72979 in MD)

🟢

Initial NPI Registration & Enumeration July 18, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003071051

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2008

Last Update: September 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

39000 Bob Hope Dr

Rancho Mirage, CA 922703221

Phone: 7607731574

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.