Active NPI
Anthony Gerard Bassanelli, MD
- Psychiatry Physician
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G55820
- Practice address
- 44530 San Pablo Ave Ste 202
Palm Desert, CA 92260-3598 - Phone
- (760) 341-6026
- Fax
- (760) 341-6027
- NPI assigned
- Apr 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G55820 | 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179072 | Other | NY | MEDICAL LICENSE |
| G-55820 | Other | CA | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Albany Medical College of Union University, 1984
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
44530 San Pablo Ave
Suite 202
Palm Desert, CA 92260-3598
Phone (760) 341-6026
Hospital & facility affiliations
- San Gorgonio Memorial Hospital
- Eisenhower Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55820 | CA | MD | Psychiatry Physician |
| 55820 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony G. Bassanelli, MD a Professional Corporation | Current | Accepting new patients | |
| University Psychiatric Practice, Inc | Psychiatry | Past | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
44530 San Pablo Ave
Ste 202
Palm Desert, CA 92260
Phone (760) 341-6026
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Palm Desert, CA
- NPI 1629371406
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Psychiatry Physician
- Buffalo, NY
- NPI 1588743702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1962469148",
"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": {
"last_name": "BASSANELLI",
"first_name": "ANTHONY",
"middle_name": "GERARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-29",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G55820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "179072",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G-55820",
"state": "CA"
}
],
"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 Sep 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.