FENIX HEALTH MEDICAL ONCOLOGY GROUP PC (NPI# 1720626757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720626757 |
| Entity Type | Organization |
| Organization Name | FENIX HEALTH MEDICAL ONCOLOGY GROUP PC |
| Practice Address |
72301 Country Club Dr Ste 109 Rancho Mirage CA 92270-8007 |
| Mailing Address |
550 N Brand Blvd Ste 1000 Glendale CA 91203-1966 |
| Practice Telephone | 7606105037 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | LUIS J PEREZ (CEO/PRESIDENT) |
| Authorized Official Telephone | 8185074732 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
72301 COUNTRY CLUB DR STE 109 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427069368 | Desert Hematology-oncology Medical Group Inc | Internal Medicine | 34490 Bob Hope Drive, Rancho Mirage, CA 92270-0000 | 2006-08-09 |
| 1457377897 | Maria Iliana Popescu Md Professional Corporation | Internal Medicine | 35800 Bob Hope Dr Ste 255, Rancho Mirage, CA 92270-1707 | 2006-07-15 |
| 1861452054 | Amy Law | Internal Medicine | 34490 Bob Hope Dr., Rancho Mirage, CA 92270-0000 | 2006-03-23 |
| 1811974272 | Luther D Glenn Md Inc | Internal Medicine | 35900 Bob Hope Dr, Suite 175, Rancho Mirage, CA 92270-1766 | 2005-12-28 |
| 1811973043 | Mark George Carmichael | Internal Medicine | 39800 Bob Hope Dr Ste C, Rancho Mirage, CA 92270-3946 | 2005-12-20 |
| 1700139268 | Cancer and Blood Consultants of The Desert Inc | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2012-10-22 |
| 1306035985 | Luther D Glenn | Internal Medicine | 35900 Bob Hope Dr, Suite 175, Rancho Mirage, CA 92270-1766 | 2007-10-18 |
| 1659572261 | Henry T Tsai | Internal Medicine | 39000 Bob Hope Dr, Eisenhower Desert Cancer Care, Rancho Mirage, CA 92270-3221 | 2007-05-30 |
| 1922120708 | Constantin Dasanu | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2007-04-04 |
| 1972513919 | Philip Brien Dreisbach | Internal Medicine | 34490 Bob Hope Dr., Rancho Mirage, CA 92270-0000 | 2006-08-09 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on FENIX HEALTH MEDICAL ONCOLOGY GROUP PC.
| 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.