Organization Active NPI

Anthony G. Bassanelli, MD a Professional Corporation

  • Adult Mental Health Clinic/Center
  • Palm Desert, CA
National Provider Identifier
1629371406
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
G-55820 Issued in CA
Legal business name
ANTHONY G. BASSANELLI, MD A PROFESSIONAL CORPORATION
Practice address
44530 San Pablo Ave Ste 202
Palm Desert, CA 92260-3598
Phone
(760) 341-6026
Fax
(760) 341-6027
NPI assigned
Dec 16, 2010
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Anthony Gerard Bassanelli, MDNPI 1962469148
Title
President/Owner
Phone
(760) 341-6026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X G-55820 CA Primary

Addresses

Primary practice location

44530 San Pablo Ave Ste 202
Palm Desert, CA 92260-3598

Mailing address

44530 San Pablo Ave Ste 202
Palm Desert, CA 92260-3598
Phone (760) 341-6026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000846 CA Part B Supplier - Clinic/Group Practice 9537357801 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

44530 San Pablo Ave
Palm Desert, CA 92260
Phone (760) 340-1264

44530 San Pablo Ave
Ste 202
Palm Desert, CA 92260
Phone (760) 341-6026

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1629371406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE STE 202",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603598",
            "telephone_number": "760-341-6026",
            "fax_number": "760-341-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE STE 202",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603598",
            "telephone_number": "760-341-6026",
            "fax_number": "760-341-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY G. BASSANELLI, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BASSANELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-341-6026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "G-55820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.