Fenix Health Medical Oncology Group PC · Hematology & Oncology Physician

72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007

Overview

Fenix Health Medical Oncology Group PC is a Hematology & Oncology Physician (organization) practicing in Rancho Mirage, California. The National Provider Identifier (NPI) is #1720626757, which was assigned on December 20, 2019, and the registration record was last updated on December 20, 2019. The practitioner's main practice location is at 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007; the contact telephone number is 7606105037. The primary taxonomy of Fenix Health Medical Oncology Group PC is Hematology & Oncology Physician (207RH0003X), with specialization in Hematology & Oncology. The authorized official for Fenix Health Medical Oncology Group PC is Luis J Perez (Ceo/President).

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.

Provider Information

NPI 1720626757
Entity Type Organization
Organization Name FENIX HEALTH MEDICAL ONCOLOGY GROUP PC
Provider Name FENIX HEALTH MEDICAL ONCOLOGY GROUP PC
Practice Address 72301 Country Club Dr Ste 109
Rancho Mirage
CA 92270-8007
Practice Telephone 7606105037
Mailing Address 550 N Brand Blvd Ste 1000
Glendale
CA 91203-1966
Certification Date 2019-12-20
Enumeration Date 2019-12-20
Last Update Date 2019-12-20
Is Organization Subpart N

Authorized Official Information

Official Name LUIS J PEREZ
Official Title CEO/PRESIDENT
Credential M.D.
Telephone 8185074732

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207RH0003XInternal MedicineHematology & Oncology193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 207RH0003X
Taxonomy Hematology & Oncology Physician
Classification Internal Medicine
Specialization Hematology & Oncology
Grouping Allopathic & Osteopathic Physicians
Definition: 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: definition added, source added; 7/1/2011: modified source]
Additional Resources: http://www.osteopathic.org/certification

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Provider NameAddressTaxonomyEnumeration Date
Aria Health Physician Services 10800 Knights Rd Fl 3, Philadelphia, PA 19114-4200Hematology & Oncology Physician2023-12-22
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Location Information

Street Address 72301 COUNTRY CLUB DR STE 109
City RANCHO MIRAGE
State CA
Zip Code 92270-8007
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
My Optimal Life 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007Gynecology Physician2020-07-28
Desert Dermatology Medical Assoiates Inc 72301 Country Club Dr, Suite101, Rancho Mirage, CA 92270-8007Specialist2008-03-19
Sleepmed of California Inc 72301 Country Club Dr, 108, Rancho Mirage, CA 92270-8007Sleep Disorder Diagnostic Clinic/Center2006-08-04
Jeralyn Ellice Brossfield · Jeralyn Ellice Whitehouse 72301 Country Club Dr Ste 104, Rancho Mirage, CA 92270-8007Gynecology Physician2006-11-27
Tamela Ann Martin · Tamela Ann Monteleone 72301 Country Club Dr, Suite 105, Rancho Mirage, CA 92270-8007Ophthalmology Physician2006-10-03
Sleepmed Therapies, Inc 72301 Country Club Dr, Rancho Mirage, CA 92270-8007Durable Medical Equipment & Medical Supplies2006-11-13
Eye Surgery Center of The Desert 72301 Country Club Dr, Suite 101, Rancho Mirage, CA 92270-8007Ophthalmology Physician2006-08-19
Carole A Van Straten 72301 Country Club Dr, Ste 112, Rancho Mirage, CA 92270-8007Hearing Instrument Specialist2009-11-24
Michael K Nakata 72301 Country Club Dr Ste 110, Rancho Mirage, CA 92270-8007Anesthesiology Physician2006-10-05
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mira Afiouni 39000 Bob Hope Dr., Achs-Gme Office Ste. 201, Rancho Mirage, CA 92270Student in an Organized Health Care Education/Training Program2022-02-09
Paloma Serrano Lopez 39000 Bob Hope Drive, Achs -Gme Office, Rancho Mirage, CA 92270Student in an Organized Health Care Education/Training Program2022-04-25
Nellie Lopez 69930 Ca - 111 N, Rancho Mirage, CA 92270Behavior Technician2023-12-06
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Melissa Orozco 69930 Ca-111, Rancho Mirage, CA 92270Behavior Technician2023-10-05
Manuel Alejandro Diaz 39000 Bob Hope Dr., Achs-Gme Office, Rancho Mirage, CA 92270Student in an Organized Health Care Education/Training Program2023-04-17
Violeta Leticia Delgado 39000 Bob Hope Drive, Achs-Gme Office Ste. 201, Rancho Mirage, CA 92270Student in an Organized Health Care Education/Training Program2023-05-18
Jophil Thomas 39000 Bob Hope Dr., Achs-Gme Office, Rancho Mirage, CA 92270Student in an Organized Health Care Education/Training Program2024-04-01
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.