Connie Delgado, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11124 Issued in CA

Practice address

49111 Hwy 111
4
Coachella, CA 92236

Phone

(760) 393-0555

NPI assigned

Jan 3, 2007

Last updated

Mar 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connie.delgado.p1@direct.cdsdp.nextgenshare.com

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.

• Clinicas de Salud del Pueblo, Inc

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment
• Clinicas de Salud del Pueblo, Inc

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • Blythe, CA
  • NPI 1124115431
  NPD
• Arthur R Davis Jr MD a Medical Corporation

  • Family Medicine Physician
  • Indio, CA
  • NPI 1609059856
  NPD (past)
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD (past)
• Rudolpho J Alegria MD Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1336295583
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1568529048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44560 BUCKINGHAM ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922012963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49111 HWY 111",
            "address_2": "4",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "92236",
            "telephone_number": "760-393-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "CONNIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "11124",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "PA11124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dap Health, Inc. (DAP Health-Centro Medico Thermal-55497 Van Buren)
• Dap Health, Inc. (DAP Health - Mobile Unit #10)
• Dap Health, Inc. (DAP Health-Coachella Valley Community Health Center)
• Angel De la Pena
• Melanie Noheli Del Cid
• Cesar Alfredo Diaz-Rodarte
• Monica Diaz, FNP-C
• Rogelio Drenning-Manriquez, M.D.
• East Valley Medical Corp
• Maria Elena Elias

• Medical Physician Assistant in Coachella, CA
• Providers in Coachella, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.