Organization Active NPI

Daniel J. Fitzgerald, III, M.D., Prof. Corp

  • Psychiatry Physician
  • Palm Desert, CA
National Provider Identifier
1972893766
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G87039 Issued in CA
Legal business name
DANIEL J. FITZGERALD, III, M.D., PROF. CORP
Practice address
74075 El Paseo
Suite B-1
Palm Desert, CA 92260-4118
Phone
(760) 346-4600
Fax
(760) 346-6433
NPI assigned
Apr 13, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Linda Virginia Kemmer
Title
Office Manager
Phone
(760) 346-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X G87039 CA
Psychiatry Physician 2084P0800X G87039 CA Primary

Addresses

Primary practice location

74075 El Paseo
Suite B-1
Palm Desert, CA 92260-4118

Mailing address

74075 El Paseo
Suite B-1
Palm Desert, CA 92260-4118
Phone (760) 346-4600

National Provider Directory

National Provider Directory
Tax ID family
Daniel J Fitzgerald III MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1972893766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74075 EL PASEO",
            "address_2": "SUITE B-1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604118",
            "telephone_number": "760-346-4600",
            "fax_number": "760-346-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74075 EL PASEO",
            "address_2": "SUITE B-1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604118",
            "telephone_number": "760-346-4600",
            "fax_number": "760-346-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. FITZGERALD, III, M.D., PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KEMMER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-346-4600"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "G87039",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G87039",
            "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 Apr 20, 2011; 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.