Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Jared Hetzel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164983938

Michael Jared Hetzel is an Emergency Medicine in Rancho Mirage, California. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2019, 7 years ago. Practices with Eisenhower Medical Center, a 459-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3296
Phone: (760) 340-3911
Fax: (760) 835-0397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A19407 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164983938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2019 (7 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rancho Mirage