MY OPTIMAL LIFE (NPI# 1013526862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013526862 |
| Entity Type | Organization |
| Organization Name | MY OPTIMAL LIFE |
| Practice Address |
72301 Country Club Dr Ste 105 Rancho Mirage CA 92270-8007 |
| Mailing Address |
70 S Val Vista Dr Ste A3-659 Gilbert AZ 85296-1374 |
| Practice Telephone | 7606912069 |
| Mailing Telephone | 4802692971 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | CONNIE DECKER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4802692971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
72301 COUNTRY CLUB DR STE 105 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1073689683 | Jeralyn Ellice Brossfield | Obstetrics & Gynecology | 72301 Country Club Dr Ste 104, Rancho Mirage, CA 92270-8007 | 2006-11-27 |
| 1255391520 | John Allan Bednar | Obstetrics & Gynecology | 25 Wimbledon Dr., Rancho Mirage, CA 92270 | 2006-03-23 |
| 1144480526 | Christine L Griswold Md A Professional Corporation | Obstetrics & Gynecology | 39000 Bob Hope Dr, Kiewit 405, Rancho Mirage, CA 92270-3221 | 2008-06-10 |
| 1952468225 | Desert Gynecology Medical Corporation | Obstetrics & Gynecology | 39000 Bob Hope Dr, Suite K306, Rancho Mirage, CA 92270-3221 | 2007-01-03 |
| 1679630958 | J. Conrad Greenwald M.d., A Professional Corporation | Obstetrics & Gynecology | 39000 Bob Hope Dr, Suite K306, Rancho Mirage, CA 92270-3221 | 2007-01-03 |
| 1639158694 | Elisa M Lindley | Obstetrics & Gynecology | 39300 Bob Hope Dr, Bannan Bldg Ste 1207, Rancho Mirage, CA 92270 | 2006-01-10 |
| 1083609390 | Christine Louise Griswold | Obstetrics & Gynecology | 39000 Bob Hope Dr, Kiewit 405, Rancho Mirage, CA 92270-3221 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
| 1275993412 | Lb Multispecialty Medical Group Inc. | Obstetrics & Gynecology | 4401 Atlantic Ave Suite 480, Long Beach, CA 90807-2218 | 2016-03-01 |
| 1528453834 | Menashe Ehrenburg, D.o., Apc | Obstetrics & Gynecology | 12746 Tiara St, Valley Village, CA 91607-1025 | 2015-04-02 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on MY OPTIMAL LIFE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.