Active NPI
Anthony A Nelson, MD
- Anesthesiology Physician
- Rancho Mirage, CA
National Provider Identifier
1467530576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G61216
- Practice address
- 71780 San Jacinto Drive
Suite B3
Rancho Mirage, CA 92270-1092 - Phone
- (760) 202-1919
- Fax
- (760) 202-1982
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G61216 | CA | Primary |
| Specialist | 174400000X | G61216 | CA |
Addresses
Primary practice location
71780 San Jacinto Drive
Suite B3
Rancho Mirage, CA 92270-1092
Mailing address
P.O. Box 3023
Rancho Mirage, CA 92270-1092
Phone (760) 202-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Southern California Keck School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
71780 San Jacinto Dr
Suite B1
Rancho Mirage, CA 92270-5517
Phone (760) 202-1919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61216 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Springs Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| KPB Anesthesia Medical Group Inc. | Specialist | Past | Accepting new patients |
| Joseph Elisha, M.D., Inc. | Anesthesiology | Past | Accepting new patients |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients | |
| Desert Anestheisa Medical Group | Specialist | Past | Accepting new patients |
Locations
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
-
- Pain Clinic/Center
- Rancho Mirage, CA
- NPI 1154631943
-
- Specialist
- Palm Springs, CA
- NPI 1861448938
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Anesthesiology Physician
- La Quinta, CA
- NPI 1194028910
-
- Specialist
- Irvine, CA
- NPI 1881632321
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1467530576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3023",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701092",
"telephone_number": "760-202-1919",
"fax_number": "760-202-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DRIVE",
"address_2": "SUITE B3",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701092",
"telephone_number": "760-202-1919",
"fax_number": "760-202-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANTHONY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G61216",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G61216",
"primary": false
}
],
"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 Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.