Active NPI
Anthony J. Ghidorzi, D.O.
- Emergency Medicine Physician
- Palm Springs, CA
National Provider Identifier
1427163187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9666
- Practice address
- 1061 Ziel Dr
Palm Springs, CA 92262-0576 - Phone
- (773) 368-6556
- NPI assigned
- Aug 20, 2006
- Last updated
- Feb 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036089309 | IL | |
| Emergency Medicine Physician | 207P00000X | 9666 | CA | Primary |
Addresses
Primary practice location
1061 Ziel Dr
Palm Springs, CA 92262-0576
Mailing address
1061 Ziel Dr
Palm Springs, CA 92262-0576
Phone (773) 368-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036089309 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Immediate Care LLC | Current | Accepting new patients |
Locations
815 N Randall Rd
Batavia, IL 60510
Phone (630) 232-1818
Interoperability endpoints
- anthony.ghidorzi.p5@direct.mydohc.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Batavia, IL
- NPI 1841512316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1427163187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 ZIEL DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922620576",
"telephone_number": "773-368-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 ZIEL DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922620576",
"telephone_number": "773-368-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIDORZI",
"first_name": "ANTHONY",
"middle_name": "J.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036089309",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "9666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.