Individual provider Active NPI

Anthony J. Ghidorzi, D.O.

  • Emergency Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1427163187
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9666 Issued in CA
Practice address
1061 Ziel Dr
Palm Springs, CA 92262-0576
Phone
(773) 368-6556
NPI assigned
Aug 20, 2006
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
036089309ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Immediate Care LLC CurrentSince Dec 16, 2011 Accepting new patients

Locations

815 N Randall Rd
Batavia, IL 60510
Phone (630) 232-1818

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.