Provider Demographics
NPI:1730208059
Name:REINHART, ROLAND D (MD)
Entity type:Individual
Prefix:
First Name:ROLAND
Middle Name:D
Last Name:REINHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14170
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92255-4170
Mailing Address - Country:US
Mailing Address - Phone:760-341-2360
Mailing Address - Fax:760-346-5940
Practice Address - Street 1:39800 PORTOLA AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-0620
Practice Address - Country:US
Practice Address - Phone:760-341-2360
Practice Address - Fax:760-346-5940
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49097207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA330808867OtherBLUE CROSS
CA00A490970OtherBLUE SHIELD
CA050071505OtherMEDICARE PIN - RAIL ROAD
CAE88841Medicare UPIN
CA00A490970Medicare PIN