Mirage Medical Group Center
NPI 1356811061ActiveOrganization· General Practice· Palm Desert, CA
General Practice in Palm Desert, California, registered in NPPES in November 2018. The authorized official on file is Zoran Rubakovich, Administrator.
Overview
| NPI | 1356811061 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2018 |
| Last updated in NPPES | Nov 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Dermatology | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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