Individual provider Active NPI

Anthony C. Anderson, MD

  • Ophthalmology Physician
  • Palm Desert, CA
National Provider Identifier
1528116449
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C41476 Issued in CA
Practice address
73950 Alessandro Dr Ste 5
Palm Desert, CA 92260-3637
Phone
(760) 568-3334
NPI assigned
Jan 8, 2007
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C41476 CA Primary

Addresses

Primary practice location

73950 Alessandro Dr Ste 5
Palm Desert, CA 92260-3637

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Other practice location 1

81767 Dr Carreon Blvd Ste 101
Indio, CA 92201-5598
Phone (760) 396-3600

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
I20081103000289 CA Practitioner - Ophthalmology 2163581406 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C41476CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Vision Inc. Ophthalmology CurrentSince Jun 12, 2024 Accepting new patients
California Eye Specialists Medical Group, Inc Current Accepting new patients

Locations

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

831 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (951) 769-0079

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

44651 Village Ct
Ste 102
Palm Desert, CA 92260
Phone (760) 568-3334

73950 Alessandro Dr
Ste 5
Palm Desert, CA 92260
Phone (760) 341-9906

6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aanderson@californiaeye.intellechartdirect.net
  • Direct secure messaging: anthony.anderson.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1528116449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73950 ALESSANDRO DR STE 5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603637",
            "telephone_number": "760-568-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81767 Dr Carreon Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015598",
            "country_code": "US",
            "telephone_number": "760-396-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANTHONY",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C41476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.