Active NPI
Gregory Alan Pecchia, D.O.
- Family Medicine Physician
- La Quinta, CA
National Provider Identifier
1720011935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A4928
- Practice address
- 45280 Seeley Dr
3Rd Floor
La Quinta, CA 92253-6834 - Phone
- (760) 610-7300
- Fax
- (760) 610-7301
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 20A4928 | CA | |
| Family Medicine Physician | 207Q00000X | 20A4928 | CA | Primary |
Addresses
Primary practice location
45280 Seeley Dr
3Rd Floor
La Quinta, CA 92253-6834
Mailing address
45280 Seeley Dr
3Rd Floor
La Quinta, CA 92253-6834
Phone (760) 610-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0021842 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4928 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Past | Accepting new patients | |
| Housecall Doctors Medical Group Inc | Geriatric Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1720011935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45280 SEELEY DR",
"address_2": "3RD FLOOR",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922536834",
"telephone_number": "760-610-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45280 SEELEY DR",
"address_2": "3RD FLOOR",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922536834",
"telephone_number": "760-610-7300",
"fax_number": "760-610-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECCHIA",
"first_name": "GREGORY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "20A4928",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A4928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0021842",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.