Paula A Lidestri, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A110395 Issued in CA

Practice address

1150 N Indian Canyon Dr
Palm Springs, CA 92262

Phone

(760) 323-6511

Fax

(760) 323-6538

NPI assigned

Oct 3, 2006

Last updated

Jul 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NY, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physical Medicine and Rehabilitation

Education

New York Medical College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advance Specialty Care South, Inc. Home health agency, Garden Grove, CA, CCN 053139
• Desert Home Health Services, Inc Home health agency, Palm Springs, CA, CCN 058150
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• Desert Regional Medical Center Inpatient rehabilitation facility, Palm Springs, CA, CCN 05T243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Physician Partners

  dba Greater Modesto Medical Surgical Associates

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment Care Compare group NPD
• Mid Hudson Physicians, P.C.

  • Internal Medicine Physician
  • Kingston, NY
  • NPI 1811949589
  Medicare reassignment NPD
• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1962856161

  TX

  Medicare reassignment NPD
• First Choice Physician Partners

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1558797118
  NPD
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• First Choice Physician Partners

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1912264862
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advance Specialty Care South, Inc.

  • Home Health Agency
  • Garden Grove, CA
  • NPI 1417332057
  Care Compare affiliation
• Desert Home Health Services, Inc.

  • Home Health Agency
  • Palm Springs, CA
  • NPI 1740287697
  Care Compare affiliation
• Desert Regional Medical Center, Inc.

  dba Desert Regional Medical Center

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• Desert Regional Medical Center, Inc.

  dba Desert Regional Medical Center

  • Rehabilitation Hospital Unit
  • Palm Springs, CA
  • NPI 1912938788

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1053405712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16219 DEER RUN ROAD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-323-6511",
            "fax_number": "760-323-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Auburn Blvd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958211618",
            "country_code": "US",
            "telephone_number": "916-568-8338",
            "fax_number": "916-925-3985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Marys Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124015848",
            "country_code": "US",
            "telephone_number": "845-338-4237",
            "fax_number": "845-334-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDESTRI",
        "first_name": "PAULA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A110395",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35086210",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "225974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2572603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan K Leong, M.D.
• Kristeen Davey Lester, D.C.
• Paul Andrew Levitan, M.D.
• Brenda Darnell Lias, CAADE
• Kenneth Lichtenstein, MD
• Daniel A, Lieberman, D.M.D
• Onnalynn Tasha Lieuallen
• Life's Journey Center, Inc.
• Camesha Latrelle Liggins, AA
• Tina Likou, PA-C

• Physical Medicine & Rehabilitation Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.

Verify at the official NPI Registry.