Individual provider Active NPI

Anthony A Nelson, MD

  • Anesthesiology Physician
  • Rancho Mirage, CA
National Provider Identifier
1467530576
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G61216 Issued in CA
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

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000973 CA Practitioner - AnesthesiologyPractitioner - Pain Management 9931187309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
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

LicenseStateTypeSpecialty
G61216CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Sep 29, 2010 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.

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

Verify at the official NPI Registry.