LYLE J REBER MD, INC. (NPI# 1053740670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053740670 |
| Entity Type | Organization |
| Organization Name | LYLE J REBER MD, INC. |
| Other Organization Name | STAR ORTHOPAEDICS |
| Practice Address |
47110 Washington St Ste 103 La Quinta CA 92253-2186 |
| Mailing Address |
Po Box 6449 La Quinta CA 92248-6449 |
| Practice Telephone | 7609724580 |
| Mailing Telephone | 7609724580 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | DR. LYLE JONATHAN REBER (OWNER) |
| Authorized Official Telephone | 7609724580 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | STAR ORTHOPAEDICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| STAR ORTHOPAEDICS | Doing Business As Name - Organization |
| Street Address |
47110 WASHINGTON ST STE 103 |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962594002 | Vangalea J. Weems | Physician Assistant | 47110 Washington St Ste 103, La Quinta, CA 92253-2186 | 2006-09-28 |
| 1922654300 | Enid Swail Ramos | Nurse Practitioner | 47110 Washington St Ste 103, La Quinta, CA 92253-2186 | 2019-08-12 |
| 1376002535 | Sherien George | Physician Assistant | 47110 Washington St Ste 103, La Quinta, CA 92253-2186 | 2019-03-18 |
| 1801181326 | Sheri Wen Hsu Md Inc | Internal Medicine | 47110 Washington St Ste 103, La Quinta, CA 92253-2186 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134494628 | Incontinence Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 53270 Eisenhower Dr, La Quinta, CA 92253-5435 | 2012-03-15 |
| 1497982920 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 44-075 Jefferson St., La Quinta, CA 92253 | 2009-06-11 |
| 1356356364 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 47900 Washington St, La Quinta, CA 92253-2209 | 2006-07-29 |
| 1275556573 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 78935 Highway 111, La Quinta, CA 92253-2072 | 2006-07-26 |
| 1750306353 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 50 929 Washington St, La Quinta, CA 92253 | 2006-07-13 |
| 1336178375 | Vons Companies Inc | Durable Medical Equipment & Medical Supplies | 78271 Highway 111, La Quinta, CA 92253-2063 | 2006-07-02 |
| 1356756761 | Desert Pain Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 79440 Corporate Center Dr, Suite 110, La Quinta, CA 92253-7241 | 2014-06-24 |
| 1285644179 | Yes I Can Dme Inc | Durable Medical Equipment & Medical Supplies | 79440 Corporate Center Dr, Ste 109, La Quinta, CA 92253-7241 | 2006-08-09 |
| 1336167808 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 79295 Highway 111, La Quinta, CA 92253-2060 | 2006-07-17 |
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|---|---|---|---|---|
| 1093316192 | Ramon D Riego Jr. | Durable Medical Equipment & Medical Supplies | 12371 Lewis St Ste 202, Garden Grove, CA 92840-4688 | 2020-11-04 |
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
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| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1942800800 | Ade Medical and Equipments Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 14205 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-10-29 |
| 1689274755 | Genesis Hcp of Orange County | Durable Medical Equipment & Medical Supplies | 11552 Knott St # C11, Garden Grove, CA 92841-1824 | 2020-10-28 |
| 1376143479 | Impakt Medical, LLC | Durable Medical Equipment & Medical Supplies | 14125 Capri Dr Ste 8, Los Gatos, CA 95032-1516 | 2020-10-28 |
| 1811596901 | Kd Medical Inc | Durable Medical Equipment & Medical Supplies | 4565 Monaco Ct, Orcutt, CA 93455-4073 | 2020-10-20 |
| 1710585161 | Interlang LLC Dba Montgomery Dme | Durable Medical Equipment & Medical Supplies | 14109 Pontlavoy Ave, Santa Fe Spgs, CA 90670-4934 | 2020-10-16 |
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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| 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.