Peter M Kadile, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6817 Issued in CA

Practice address

78100 Main St
Ste 207
La Quinta, CA 92253-8962

Phone

(760) 777-7439

Fax

(760) 777-1254

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2014 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1396710646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78100 MAIN ST",
            "address_2": "STE 207",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538962",
            "telephone_number": "760-777-7439",
            "fax_number": "760-777-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78100 MAIN ST",
            "address_2": "STE 207",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538962",
            "telephone_number": "760-777-7439",
            "fax_number": "760-777-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADILE",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Ann Johnson
• Bryce D Jolley, DPM
• Jon G McLennan, M.D., Inc.
• Joseph Elisha, M.D., Inc.
• Esther Jun-Ihn
• Lisa Cypers Kamen
• Kayvan Kani, M.D.
• Armen Karimyan, DDS
• Anna Maria Kayaloglou, M.D.
• Sharon Kolb Keating

• Family Medicine Physician in La Quinta, CA
• Providers in La Quinta, 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 Nov 3, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.