Organization Active NPI

Catherine Brignoni MD

  • Clinical Neurophysiology Physician
  • Palm Desert, CA
National Provider Identifier
1457590762
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
A96802 Issued in CA
Legal business name
CATHERINE BRIGNONI MD
Practice address
72670 Fred Waring Dr Ste 202
Palm Desert, CA 92260-5013
Phone
(760) 340-4300
Fax
(760) 340-4322
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Dr. Catherine BrignoniNPI 1114982048
Title
Owner
Phone
(760) 340-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X A96802 CA Primary

Addresses

Primary practice location

72670 Fred Waring Dr Ste 202
Palm Desert, CA 92260-5013

Mailing address

PO Box 626
Rancho Mirage, CA 92270-0626
Phone (760) 340-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090312000253 CA Part B Supplier - Clinic/Group Practice 7214093673 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA
O20240826003036 NV Part B Supplier - Clinic/Group Practice 7214093673 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

72670 Fred Waring Dr
Ste 202
Palm Desert, CA 92260
Phone (760) 340-4300

72670 Fred Waring Dr
Palm Desert, CA 92260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1457590762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700626",
            "telephone_number": "760-340-4300",
            "fax_number": "760-340-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72670 FRED WARING DR STE 202",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605013",
            "telephone_number": "760-340-4300",
            "fax_number": "760-340-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE BRIGNONI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "BRIGNONI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-340-4300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A96802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.