Excel Physicians Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EXCEL PHYSICIANS MEDICAL CORPORATION

Practice address

29809 Santa Margarita Pkwy
Suite#300
Rancho Santa Margarita, CA 92688-3613

Phone

(949) 709-5100

Fax

(949) 709-5151

NPI assigned

Sep 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter S Desilva, M.D.NPI 1316045636

Title

President

Phone

(949) 709-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter S Desilva, MD

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
  • NPI 1316045636
  Medicare reassignment Care Compare group NPD Authorized official
• Natalia Bilan, MD

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
  • NPI 1376644377
  Medicare reassignment Care Compare group NPD
• Alexa Lynn Desilva, PA-C

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
  • NPI 1023630753
  Medicare reassignment

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245335025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29809 SANTA MARGARITA PKWY",
            "address_2": "SUITE#300",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883613",
            "telephone_number": "949-709-5100",
            "fax_number": "949-709-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29809 SANTA MARGARITA PKWY",
            "address_2": "SUITE#300",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883613",
            "telephone_number": "949-709-5100",
            "fax_number": "949-709-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICIANS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-709-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PPO",
            "identifier": "ZZZ05895Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydnie Julia Epps, CMPSS
• Fernando Ramon Escobedo, LMT
• Justin Euperio
• Dennis Arthur Evans Jr.
• Evolve Integrated Wellness and Physical Therapy PC
• Michael Young Fabiana
• Rouha Khodadad Farman, SLP
• Alyssa Ashley Farr, PT, DPT
• Tara Lynn Farry, OTR/L
• Thomas Feck, PT, DPT

• Family Medicine Physician in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.