Organization Active NPI

Anthony Nelson MD a Medical Corporation

  • Anesthesiology Physician
  • Rancho Mirage, CA
National Provider Identifier
1235343294
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G61216 Issued in CA
Legal business name
ANTHONY NELSON MD A MEDICAL CORPORATION
Practice address
71780 San Jacinto Dr Ste B1
Rancho Mirage, CA 92270-5517
Phone
(760) 202-1919
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffany Falkey
Title
Manager
Phone
(330) 244-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G61216 CA Primary

Addresses

Primary practice location

71780 San Jacinto Dr Ste B1
Rancho Mirage, CA 92270-5517

Mailing address

PO Box 2757
Orange, CA 92859-0757
Phone (714) 973-2650

National Provider Directory

National Provider Directory

Locations

39000 Bob Hope Dr
Ste 215
Rancho Mirage, CA 92270
Phone (760) 699-6500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1235343294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR STE B1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705517",
            "telephone_number": "760-202-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY NELSON MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "FALKEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-244-8505"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G61216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.