Individual provider Active NPI

Daniel Eytan Fast, MD

  • Psychiatry Physician
  • Palm Springs, CA
National Provider Identifier
1518961549
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G35299 Issued in CA
Practice address
400 S. Farrell Drive, Suite B160
Palm Springs, CA 92262-7954
Phone
(310) 246-1040
Fax
(310) 246-1306
NPI assigned
Jun 8, 2005
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G35299 CA Primary

Addresses

Primary practice location

400 S. Farrell Drive, Suite B160
Palm Springs, CA 92262-7954

Mailing address

400 S. Farrell Drive, Suite B160
Palm Springs, CA 92262-7954
Phone (310) 246-1040

Other identifiers 1

IdentifierTypeStateIssuer
061732OtherCAMANAGED HEALTH NETWORK

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
I20050108000171 CA Practitioner - Psychiatry 4688622400 Practice locations: Beverly Hills, CA; Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2150 E Tahquitz Canyon Way
Suite 6
Palm Springs, CA 92262-6818
Phone (760) 799-4199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G35299CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan J Drucker MD Inc Psychiatry PastSince Mar 31, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1518961549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S. FARRELL DRIVE, SUITE B160",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627954",
            "telephone_number": "310-246-1040",
            "fax_number": "310-246-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. FARRELL DRIVE, SUITE B160",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627954",
            "telephone_number": "310-246-1040",
            "fax_number": "310-246-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAST",
        "first_name": "DANIEL",
        "middle_name": "EYTAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G35299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "061732",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.