DR. JOHN C PETRICCIANI (NPI# 1447496948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447496948 |
| Entity Type | Individual |
| Full Name | DR. JOHN C PETRICCIANI |
| Credential | M.D. |
| Practice Address |
1345 Ladera Cir Palm Springs CA 92262-4122 |
| Mailing Address |
Po Box 1925 Palm Springs CA 92263-1925 |
| Practice Telephone | 7604162686 |
| Mailing Telephone | 7604162686 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | GFE16109 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1345 LADERA CIR |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215372461 | Jonathan K Leong | General Practice | 2825 E Tahquitz Canyon Way Bldg A, Palm Springs, CA 92262-6907 | 2013-05-01 |
| 1548527534 | Congress Health Medical Center | General Practice | 3401 S Congress Ave Ste 207, Palm Springs, FL 33461-3066 | 2012-04-16 |
| 1255629739 | Mitchell Alan Atlas | General Practice | 1677 Sienna Ct, Palm Springs, CA 92262-2382 | 2011-07-18 |
| 1851504369 | Arthur Fred Greenwald | General Practice | 2966 E Vera Cruz Rd, Palm Springs, CA 92264-8727 | 2007-05-08 |
| 1477663821 | James Wesley Shaner | General Practice | 173 S Civic Dr Ste 4, Palm Springs, CA 92262-7215 | 2006-08-30 |
| 1619940129 | Delmar Ralph Aitken | General Practice | 392 Villaggio South, Palm Springs, CA 92262-4434 | 2006-02-07 |
| 1740283084 | Edith Ann Jones-poland | General Practice | 275 N El Cielo Rd, Palm Springs, CA 92262-6972 | 2005-05-31 |
| 1851895288 | Dina Albaree | General Practice | 1100 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-4418 | 2018-03-20 |
| 1366742967 | Value Md Group Corp | General Practice | 1964 S Congress Ave, Palm Springs, FL 33406-6674 | 2010-10-28 |
| 1700083771 | Albert Anderson Medical Corporation | General Practice | 552 S Paseo Dorotea, Suite 2, Palm Springs, CA 92264-1437 | 2007-07-02 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on DR. JOHN C PETRICCIANI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.