CHISHOLM BRUCE B MC ASC (NPI# 1700096005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700096005 |
| Entity Type | Organization |
| Organization Name | CHISHOLM BRUCE B MC ASC |
| Practice Address |
39300 Bob Hope Dr Bannan Bldg 1208 Rancho Mirage CA 92270-3203 |
| Practice Telephone | 7607799559 |
| Practice Fax Number | 7607795077 |
| Mailing Telephone | 7607799559 |
| Mailing Fax Number | 7607795077 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRUCE B CHISHOLM (CEO) |
| Authorized Official Telephone | 7607799559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
G81937 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | IMQ ASC ACCREDITATION | 10005 | 01 |
| Street Address |
39300 BOB HOPE DR BANNAN BLDG 1208 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516738 | Alan S Coit | Pediatrics | 39300 Bob Hope Dr, Ste B1108, Rancho Mirage, CA 92270-3203 | 2005-05-24 |
| 1306323811 | Jessica Caballero | Counselor | 39300 Bob Hope Dr, Rancho Mirage, CA 92270-3233 | 2018-07-26 |
| 1417291675 | Sadaf Regar | Physician Assistant | 39300 Bob Hope Dr, Bannan Building Suite 1203, Rancho Mirage, CA 92270-3203 | 2012-11-11 |
| 1033475751 | Alan E Williamson Md Inc | Surgery | 39300 Bob Hope Dr, Bannan Building, Suite 1101, Rancho Mirage, CA 92270-3203 | 2012-04-06 |
| 1700159548 | Bruce B Chisholm Md A Professional Corporation | Plastic Surgery | 39300 Bob Hope Dr, Bannan Bldg Suite 1208, Rancho Mirage, CA 92270-7088 | 2012-02-09 |
| 1710272893 | Eisenhower Medical Center | General Acute Care Hospital | 39300 Bob Hope Dr, Bannan Building, Rancho Mirage, CA 92270-3203 | 2011-06-16 |
| 1447465109 | Mark F Kaufman, Md Inc | Specialist | 39300 Bob Hope Dr, Bannan Bldg Ste 1113, Rancho Mirage, CA 92270-3203 | 2007-05-14 |
| 1093885675 | Rancho Mirage Pain Center Inc | Clinic/Center | 39300 Bob Hope Dr, Bannan Building, Suite 1203, Rancho Mirage, CA 92270-3203 | 2006-11-09 |
| 1730286600 | Rancho Mirage Pain Associates, Inc. | Anesthesiology | 39300 Bob Hope Dr, Bannan Building, Suite 1203, Rancho Mirage, CA 92270-3203 | 2006-09-20 |
| 1932206851 | Bruce B Chisholm | Oral & Maxillofacial Surgery | 39300 Bob Hope Dr, Bannan Bldg Suite 1208, Rancho Mirage, CA 92270-3203 | 2006-09-20 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558625731 | Stellar Surgical Specialties, Inc. | Clinic/Center | 69780 Stellar Drive, Suite B, Rancho Mirage, CA 92270-2954 | 2012-07-02 |
| 1386930162 | 92270 Surgery Center | Clinic/Center | 71-511 Hwy 111, Suite E, Rancho Mirage, CA 92270 | 2011-06-21 |
| 1154593481 | Rancho Mirage Surgery Center, LLC | Clinic/Center | 35-800 Bob Hope Drive, Suite 100, Rancho Mirage, CA 92270-1722 | 2008-03-27 |
| 1144225608 | Hope Square Surgical Center LLC | Clinic/Center | 39700 Bob Hope Drive, Suite 301, Rancho Mirage, CA 92270-7129 | 2005-06-20 |
| 1588668503 | Mirage Endoscopy Center, L.p. | Clinic/Center | 39935 Vista Del Sol, Ste 101, Rancho Mirage, CA 92270-3211 | 2005-06-08 |
| 1811386147 | River's Edge Surgery Center, Inc. | Clinic/Center | 71780 San Jacinto Dr, Building D, Rancho Mirage, CA 92270-5516 | 2015-01-09 |
| 1679979942 | Suzanne M Quardt Md Inc | Clinic/Center | 70017 Highway 111, Suite 1, Rancho Mirage, CA 92270-2999 | 2014-11-13 |
| 1538405345 | Mirage Aesthetic Concepts Surgical Center | Clinic/Center | 39935 Vista Del Sol, Suite 100, Rancho Mirage, CA 92270-3211 | 2012-12-26 |
| 1932350238 | Mirage Surgery Center | Clinic/Center | 71949 Highway 111, Suite 300, Rancho Mirage, CA 92270-4826 | 2008-10-05 |
| 1629270350 | Morrow Institute Medical Group Inc | Clinic/Center | 69780 Stellar Dr, Rancho Mirage, CA 92270-2954 | 2007-06-04 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on CHISHOLM BRUCE B MC ASC.
| 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.