Mirage Center Outpatient Surgery
NPI 1245128917 · Oral & Maxillofacial Surgery (D.M.D.) · Rancho Mirage, CA
Mirage Center Outpatient Surgery is a Oral & Maxillofacial Surgery (D.M.D.) organization in Rancho Mirage, CA (NPI 1245128917).
Provider details
- NPI number
- 1245128917
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justyn Mawby, Admin/Or Supervisor(760) 485-9636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Mirage Center Outpatient Surgery's NPI number?
- Mirage Center Outpatient Surgery's National Provider Identifier (NPI) is 1245128917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirage Center Outpatient Surgery?
- Mirage Center Outpatient Surgery is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Mirage Center Outpatient Surgery located?
- Mirage Center Outpatient Surgery's practice location on file with NPPES is 39935 Vista Del Sol Ste 101, Rancho Mirage, CA 92270-3211.
- What is Mirage Center Outpatient Surgery's phone number?
- The practice phone number listed in the NPPES registry for Mirage Center Outpatient Surgery is (760) 413-8182.
- Who is the authorized official for Mirage Center Outpatient Surgery?
- The authorized official listed on Mirage Center Outpatient Surgery's NPPES record is Justyn Mawby, Admin/Or Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirage Center Outpatient Surgery's NPI active?
- Yes — Mirage Center Outpatient Surgery's NPI (1245128917) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.