Individual provider Active NPI

Anthony John Gerard Alastra, MD

  • Neurological Surgery Physician
  • Palm Springs, CA
National Provider Identifier
1720069438
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C1561324 Issued in CA
Practice address
1080 N Indian Canyon Dr Ste 201
Palm Springs, CA 92262-4871
Phone
(760) 507-8473
Fax
(760) 507-8316
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 217720-1 NY
Neurological Surgery Physician 207T00000X C1561324 CA Primary
Neurological Surgery Physician 207T00000X 25MA07917400 NJ

Addresses

Primary practice location

1080 N Indian Canyon Dr Ste 201
Palm Springs, CA 92262-4871

Mailing address

3 Amalfi Dr
Palm Desert, CA 92211-8912
Phone (646) 265-2770

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 507-8473

Other identifiers 1

IdentifierTypeStateIssuer
02584898MedicaidNY

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
I20191014001406 CA Practitioner - Neurosurgery 3678535416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1561324CAMDNeurological Surgery Physician
25MA07917400NJMDNeurological Surgery Physician
217720-1NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cal Med Physicians and Surgeons, Inc. Neurological Surgery CurrentSince Jan 8, 2024 Accepting new patients
Eisenhower Medical Center CurrentSince Dec 9, 2024 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Arrowhead Neurosurgical Medical Group, Inc. Neurological Surgery CurrentSince Jun 10, 2019 Accepting new patients
Eisenhower Medical Center CurrentSince Dec 9, 2024 Accepting new patients

Locations

400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

26520 Cactus Ave
Ste A2006
Moreno Valley, CA 92555
Phone (951) 486-4460

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1080 N Indian Canyon Dr
Ste 201
Palm Springs, CA 92262
Phone (760) 325-5811

1180 N Indian Canyon Dr
Ste W214
Palm Springs, CA 92262
Phone (760) 416-4545

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Ste 301
Rancho Mirage, CA 92270
Phone (760) 340-4566

255 Terracina Blvd
Ste 104B
Redlands, CA 92373
Phone (909) 793-3293

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aalastra269460@direct.llu.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1720069438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AMALFI DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118912",
            "telephone_number": "646-265-2770",
            "fax_number": "760-832-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N INDIAN CANYON DR STE 201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624871",
            "telephone_number": "760-507-8473",
            "fax_number": "760-507-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-507-8473",
            "fax_number": "760-507-8316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALASTRA",
        "first_name": "ANTHONY",
        "middle_name": "JOHN GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "217720-1",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C1561324",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA07917400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02584898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.