Individual provider · Type 1 NPI

Asante Diane Fennell, PA-C

Physician Assistant · Palm Desert, CA

NPI number 1063196723 Active

Practice location

41990 Cook St Bldg H
Palm Desert, CA 92211-6100

Call (760) 327-7900 Map

Fax (760) 327-7905

Mailing address

17223 Cerritos St
Fontana, CA 92336-1584

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA66472 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063196723

Asante Diane Fennell, PA-C's National Provider Identifier is 1063196723, issued on Jun 13, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palm Desert, CA. The record was last updated on Jul 17, 2025.