Individual provider Active NPI

Daniel N. Pistone, M.D.

  • Psychiatry Physician
  • Palm Springs, CA
National Provider Identifier
1962405084
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2016-0266 Issued in NM
Practice address
19531 McLane St Suite B
Palm Springs, CA 92262
Phone
(951) 358-3589
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 9801445 NC
Psychosomatic Medicine Physician 2084P0015X 9801445 NC
Psychiatry Physician 2084P0800X 26858 SC
Psychiatry Physician 2084P0800X 9801445 NC
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 9801445 NC
Psychiatry Physician 2084P0800X MD2016-0266 NM Primary

Addresses

Primary practice location

19531 McLane St Suite B
Palm Springs, CA 92262

Mailing address

7184 Golf Course Lane
San Jose, CA 95139
Phone (575) 526-1105

Other practice location 1

4441 E Kings Canyon Rd Bldg 317
Fresno, CA 93702-3604
Phone (559) 600-6053

Other identifiers 3

IdentifierTypeStateIssuer
GP4324MedicaidSC
N01445MedicaidSC
9801445MedicaidNC

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Psychological Services, Inc. CurrentSince Nov 16, 2021 Accepting new patients
Ultracare Anesthesia Partners LLC PastSince May 1, 2023 Accepting new patients
Daniel Pistone, MD PA Past Accepting new patients
Southern Cross Community Services, Inc Past Accepting new patients
Southeastern Regional Mental Health Center Past Accepting new patients
Daniel Pistone MD PA Psychiatry PastSince Sep 17, 2004 Accepting new patients
Southern Cross Community Services, Inc Past Accepting new patients

Locations

39180 Liberty St
Ste 205
Fremont, CA 94538
Phone (510) 439-0657

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1962405084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7184 GOLF COURSE LANE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95139",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 MCLANE ST SUITE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "951-358-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Kings Canyon Rd Bldg 317",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISTONE",
        "first_name": "DANIEL",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "9801445",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NC",
            "license": "9801445",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "26858",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9801445",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NC",
            "license": "9801445",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2016-0266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4324",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01445",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9801445",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.