Anthony Desanto-Kelly, LICENSE PYSCH TECH 3
NPI 1417047069 · Licensed Psychiatric Technician · Long Beach, CA
Anthony Desanto-Kelly, LICENSE PYSCH TECH 3 is a Licensed Psychiatric Technician provider in Long Beach, CA (NPI 1417047069).
Provider details
- NPI number
- 1417047069
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Credential
- LICENSE PYSCH TECH 3
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT24452 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Anthony Desanto-Kelly's NPI number?
- Anthony Desanto-Kelly's National Provider Identifier (NPI) is 1417047069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Desanto-Kelly's specialty?
- Anthony Desanto-Kelly is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).
- Where is Anthony Desanto-Kelly located?
- Anthony Desanto-Kelly's practice location on file with NPPES is 3501 N Lakewood Blvd, Long Beach, CA 90808-1736.
- What is Anthony Desanto-Kelly's phone number?
- The practice phone number listed in the NPPES registry for Anthony Desanto-Kelly is (562) 570-7119.
- Is Anthony Desanto-Kelly's NPI active?
- Yes — Anthony Desanto-Kelly's NPI (1417047069) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.