Active NPI
Angela Pallesi, M.D.
- Surgery Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A192929
- Practice address
- 2121 Santa Monica Blvd
Santa Monica, CA 90404-2303 - Phone
- (310) 582-7100
- Fax
- (310) 829-8914
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R10402 | IA | |
| Surgery Physician | 208600000X | A192929 | CA | Primary |
Addresses
Primary practice location
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Mailing address
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 582-7100
Other practice location 1
1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone (515) 241-4076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Washington School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2831 Fort Missoula Rd
Suite 104
Missoula, MT 59804-7479
Phone (406) 728-0285
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 14 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A192929 | CA | MD | Surgery Physician |
| R10402 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients |
Locations
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2833 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-6559
2837 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-3911
2835 Fort Missoula Rd
Ste 101
Missoula, MT 59804
Phone (406) 327-3920
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2831 Fort Missoula Rd
Ste 104
Missoula, MT 59804
Phone (406) 206-6036
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
Interoperability endpoints
- apallesi@direct.communitymed.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
dba Community Medical Center
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
-
dba Community Physician Group
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
dba Community Medical Center
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1437531506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042303",
"telephone_number": "310-582-7100",
"fax_number": "310-829-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042303",
"telephone_number": "310-582-7100",
"fax_number": "310-829-8914"
}
],
"practiceLocations": [
{
"address_1": "1415 Woodland Ave",
"address_2": "Suite 140",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093203",
"country_code": "US",
"telephone_number": "515-241-4076",
"fax_number": "515-241-4080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALLESI",
"first_name": "ANGELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "R10402",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A192929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.