OrganizationActive
Mirage Medical Group
NPI 1528208758 · Specialist · Rancho Mirage, CA
Mirage Medical Group is a Specialist organization in Rancho Mirage, CA (NPI 1528208758).
Provider details
- NPI number
- 1528208758
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Zoran Rubakovich, Director of Operations(760) 346-4003
- License
- A51307 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs 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
69844 Highway 111 Ste K
One Hawkeye Park
Rancho Mirage, CA 92270-2849
Phone: (760) 770-4166
Street-level locationGet directions
Mailing address
44650 Village Ct Ste 100
Palm Desert, CA 92260-3812
Registry dates
- Enumerated
- 2009-02-27
- Last updated
- 2009-02-27
Frequently asked questions
- What is Mirage Medical Group's NPI number?
- Mirage Medical Group's National Provider Identifier (NPI) is 1528208758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirage Medical Group?
- Mirage Medical Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mirage Medical Group located?
- Mirage Medical Group's practice location on file with NPPES is 69844 Highway 111 Ste K, Rancho Mirage, CA 92270-2849.
- What is Mirage Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Mirage Medical Group is (760) 770-4166.
- Who is the authorized official for Mirage Medical Group?
- The authorized official listed on Mirage Medical Group's NPPES record is Zoran Rubakovich, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirage Medical Group's NPI active?
- Yes — Mirage Medical Group's NPI (1528208758) is active in the NPPES registry as of the last update on 2009-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.